Active NPI
Samuel E Roura, M.D.
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1518023340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME67088
- Practice address
- 10621 SW 88TH St
Suite 200
Miami, FL 33176-8708 - Phone
- (305) 969-9016
- Fax
- (305) 971-0701
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME67088 | FL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME 67088 | FL |
Addresses
Primary practice location
10621 SW 88TH St
Suite 200
Miami, FL 33176-8708
Mailing address
10621 SW 88TH St
Suite 200
Miami, FL 33176-8708
Phone (305) 969-9016
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 67088 | FL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS and Associates, Inc. | Past | Accepting new patients | |
| Professional Health Network Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prescribing (Medical) Psychologist
- Doral, FL
- NPI 1790986529
-
- Counselor
- Miami, FL
- NPI 1336254929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1518023340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10621 SW 88TH ST",
"address_2": "SUITE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331768708",
"telephone_number": "305-969-9016",
"fax_number": "305-971-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10621 SW 88TH ST",
"address_2": "SUITE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331768708",
"telephone_number": "305-969-9016",
"fax_number": "305-971-0701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROURA",
"first_name": "SAMUEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME67088",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME 67088",
"primary": false
}
],
"identifiers": [],
"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 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.