Active NPI
Irina Licea, MD
- Family Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 100912
- Practice address
- 1321 NW 14TH St Ste 102
Miami, FL 33125-1653 - Phone
- (305) 545-4980
- Fax
- (305) 545-4913
- NPI assigned
- Dec 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 100912 | FL | Primary |
Addresses
Primary practice location
1321 NW 14TH St Ste 102
Miami, FL 33125-1653
Mailing address
1321 NW 14TH St Ste 102
Miami, FL 33125-1653
Phone (305) 545-4980
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100224000979 | FL | Practitioner - Family Practice | 5890879126 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roa-Licea MD, PAFirst Docs PC
Practice addresses (Care Compare)
2525 SW 75 Ave
Miami, FL 33155-2800
Phone (305) 262-6800
3100 S Douglas Rd
Coral Gables, FL 33134-6914
Phone (305) 445-8461
3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 545-4980
3663 S Miami Ave
Miami, FL 33133-4253
Phone (609) 585-1122
6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000
955 NW 3Rd St
Miami, FL 33128-1274
Phone (305) 416-5700
Hospital & facility affiliations
- HCA Florida Mercy Hospital
- Keralty Hospital
- Larkin Community Hospital Palm Springs Campus
- Baptist Hospital of Miami
- Hialeah Hospital
- Select Specialty Hospital-Miami
- Treasure Isle Care Center
- Jackson Gardens Health and Rehabilitation Center
- Victoria Nursing & Rehabilitation Center, Inc.
- Kendall Lakes Healthcare and Rehab Center
- Ponce Health and Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 100912 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Docs PC | Current | Accepting new patients | |
| Southern Winds Hospital LLC | Current | Accepting new patients | |
| Roa-Licea MD, PA | Current | Accepting new patients | |
| QMC LLC | Current | Accepting new patients | |
| Blue Lagoon Hospitalists Inc | Family Medicine | Past | Accepting new patients |
Locations
4225 W 20th Ave
Hialeah, FL 33012
Phone (305) 558-9700
14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010
1321 NW 14th St
Ste 102
Miami, FL 33125
Phone (305) 545-4980
5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757
333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411
3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057
2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585
Organizations & group practices 5
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 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Miami, FL
- NPI 1124777669
Nursing home
-
- General Acute Care Hospital
- Hialeah, FL
- NPI 1013382860
Hospital
-
- Skilled Nursing Facility
- North Bay Village, FL
- NPI 1518961226
Nursing home
-
- Skilled Nursing Facility
- Miami, FL
- NPI 1447249149
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1649454091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 NW 14TH ST STE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251653",
"telephone_number": "305-545-4980",
"fax_number": "305-545-4913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 NW 14TH ST STE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251653",
"telephone_number": "305-545-4980",
"fax_number": "305-545-4913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICEA",
"first_name": "IRINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-20",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 100912",
"primary": true
}
],
"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 Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.