Individual provider Active NPI

Eduardo Armando Roqueso

  • Adult Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1669043972
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11005275 Issued in FL
Practice address
17061 NW 82ND Ave
Hialeah, FL 33015-3701
Phone
(786) 525-4933
NPI assigned
Jul 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11005275 FL Primary

Addresses

Primary practice location

17061 NW 82ND Ave
Hialeah, FL 33015-3701

Mailing address

17061 NW 82ND Ave
Hialeah, FL 33015-3701
Phone (786) 525-4933

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220316004046 FL Practitioner - Nurse Practitioner 5395130942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawnwood Cardiovascular Surgery LLCGroup PAC ID 7214937598, 53 clinicians

Practice addresses (Care Compare)

3659 S Miami Ave
Suite 4008
Miami, FL 33133-4231
Phone (305) 285-2642

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawnwood Cardiovascular Surgery LLC CurrentSince Jul 1, 2024 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Dec 15, 2024 Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Past Accepting new patients

Locations

5301 S Congress Ave
Bldg 300
Atlantis, FL 33462
Phone (561) 548-4900

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3641 S Miami Ave
Ste 170
Miami, FL 33133
Phone (305) 285-2121

3659 S Miami Ave
Ste 4008
Miami, FL 33133
Phone (305) 285-5025

3661 S Miami Ave
Ste 510
Miami, FL 33133
Phone (305) 285-2272

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: eduardo.roqueso@hca4.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1669043972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17061 NW 82ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153701",
            "telephone_number": "786-525-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17061 NW 82ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153701",
            "telephone_number": "786-525-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUESO",
        "first_name": "EDUARDO",
        "middle_name": "ARMANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11005275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.