Individual provider Active NPI

Alejandro Octavio Roca, M.D.

  • Internal Medicine Physician
  • South Miami, FL
National Provider Identifier
1629034343
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME62402 Issued in FL
Practice address
6701 Sunset Dr
Suite 212
South Miami, FL 33143-4529
Phone
(305) 663-0710
Fax
(305) 665-3051
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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 ME62402 FL Primary

Addresses

Primary practice location

6701 Sunset Dr
Suite 212
South Miami, FL 33143-4529

Mailing address

6701 Sunset Dr
Suite 212
South Miami, FL 33143-4529
Phone (305) 663-0710

Other identifiers 1

IdentifierTypeStateIssuer
370486600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110705000123 FL Practitioner - Internal Medicine 5193903037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Group at South Miami IncGroup PAC ID 9931387875, 4 clinicians

Practice addresses (Care Compare)

6701 Sunset Dr
Suite 212
South Miami, FL 33143-4529
Phone (305) 663-0710

Hospital & facility affiliations

  • America-Loving Care Home Health Inc Home health agency, Doral, FL, CCN 108241
  • Ready Care Home Health, Inc Home health agency, Aventura, FL, CCN 109002
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group at South Miami Inc CurrentSince May 7, 1999 Accepting new patients
Value Healthcare Partners PastSince Dec 1, 2024 Accepting new patients

Locations

6200 Sunset Dr
Ste 200
South Miami, FL 33143
Phone (305) 663-0710

6701 Sunset Dr
Ste 212
South Miami, FL 33143
Phone (305) 663-0710

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1629034343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 SUNSET DR",
            "address_2": "SUITE 212",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-663-0710",
            "fax_number": "305-665-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SUNSET DR",
            "address_2": "SUITE 212",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-663-0710",
            "fax_number": "305-665-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCA",
        "first_name": "ALEJANDRO",
        "middle_name": "OCTAVIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME62402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370486600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.