Individual provider Active NPI

Lilia Roque-Guerrero, MD

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1356382667
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME56037 Issued in FL
Practice address
7455 W Flagler St
Miami, FL 33144-2401
Phone
(305) 554-5588
Fax
(305) 554-5560
NPI assigned
Jun 9, 2006
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME56037 FL Primary

Addresses

Primary practice location

7455 W Flagler St
Miami, FL 33144-2401

Mailing address

7455 W Flagler St
Miami, FL 33144-2401
Phone (305) 554-5588

Other identifiers 1

IdentifierTypeStateIssuer
063722000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME56037FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lilia Roque Guerrero M D P a CurrentSince Sep 10, 2023 Accepting new patients

Locations

13226 SW 8th St
Miami, FL 33184
Phone (305) 554-5588

7455 W Flagler St
Miami, FL 33144
Phone (305) 266-1970

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1356382667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442401",
            "telephone_number": "305-554-5588",
            "fax_number": "305-554-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442401",
            "telephone_number": "305-554-5588",
            "fax_number": "305-554-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE-GUERRERO",
        "first_name": "LILIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME56037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063722000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.