Individual provider Active NPI

Diana Roque, MD

  • Internal Medicine Physician
  • Riverview, FL
National Provider Identifier
1558390484
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME61135 Issued in FL
Practice address
10841 Park Dr
Riverview, FL 33569-5148
Phone
(813) 677-6900
Fax
(813) 677-6903
NPI assigned
Jul 2, 2006
Last updated
Feb 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME61135 FL Primary

Addresses

Primary practice location

10841 Park Dr
Riverview, FL 33569-5148

Mailing address

10841 Park Dr
Riverview, FL 33569-5148
Phone (813) 677-6900

Other names 1

  • Mrs. Diana Trinidad Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2819 Minuteman LN
Brandon, FL 33511-9504

504 Red Banks Rd
Suite C
Greenville, NC 27858-5766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibri Health and Wellness PLLC CurrentSince Jul 1, 2025 Accepting new patients
Kreider Chiropractic Inc Past Accepting new patients

Locations

10841 Park Dr
Riverview, FL 33569
Phone (813) 677-6900

Interoperability endpoints

  • Direct secure messaging: diana.roque.1@33035.direct.athenahealth.com

Organizations & group practices 3

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1558390484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10841 PARK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695148",
            "telephone_number": "813-677-6900",
            "fax_number": "813-677-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 PARK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695148",
            "telephone_number": "813-677-6900",
            "fax_number": "813-677-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME61135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "TRINIDAD",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.