Antonio Roque Jr., COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

17114 Issued in FL

Practice address

5140 SW 156TH PL
Miami, FL 33185-4169

Phone

(786) 376-5110

NPI assigned

Jul 31, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627689600000",
    "number": "1508539875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 SW 156TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854169",
            "telephone_number": "786-376-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 SW 156TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854169",
            "telephone_number": "786-376-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "ANTONIO",
        "name_suffix": "Jr.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "17114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilia Roque-Guerrero, MD
• Adriana Roque
• Alden Roque, M.D.
• Andres David Roque, PH.D.
• Anixa N/a Roque, CABA
• Cesar Ricardo Roque
• Claudia Roque
• Daniela Alejandra Roque
• Flavia K Roque
• Izabella Ruth Osea Roque

• Occupational Therapy Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; 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.