Individual provider Active NPI

Enrique Roig, PA-C

  • Surgical Physician Assistant
  • Miami, FL
National Provider Identifier
1518978501
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9100664 Issued in FL
Practice address
3659 S Miami Ave
Ste. 4008
Miami, FL 33133-4227
Phone
(305) 285-5085
Fax
(305) 285-5084
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9100664 FL Primary

Addresses

Primary practice location

3659 S Miami Ave
Ste. 4008
Miami, FL 33133-4227

Mailing address

3659 S Miami Ave
Ste. 4008
Miami, FL 33133-4227
Phone (305) 285-5085

Other identifiers 1

IdentifierTypeStateIssuer
291055100MedicaidFL

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9100664FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Past Accepting new patients
Mercy Hospital Inc Past Accepting new patients
Mercy Hospital Inc Past Accepting new patients
Mercy Medical Development Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1518978501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 S MIAMI AVE",
            "address_2": "STE. 4008",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334227",
            "telephone_number": "305-285-5085",
            "fax_number": "305-285-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 S MIAMI AVE",
            "address_2": "STE. 4008",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334227",
            "telephone_number": "305-285-5085",
            "fax_number": "305-285-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROIG",
        "first_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9100664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291055100",
            "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 May 12, 2010; 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.