Loida E Deynes-Roldan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME126149 Issued in FL

Practice address

787 Cortaro Dr
Ruskin, FL 33573-6812

Phone

(813) 634-2500

Fax

(813) 634-3008

NPI assigned

Aug 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Archwell Health Medical of Florida, LLC

  • Internal Medicine Physician
  • Venice, FL
  • NPI 1497453450
  Medicare reassignment NPD
• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603
  NPD (past)

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770898124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 CORTARO DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736812",
            "telephone_number": "787-235-9329",
            "fax_number": "813-634-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 CORTARO DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736812",
            "telephone_number": "813-634-2500",
            "fax_number": "813-634-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYNES-ROLDAN",
        "first_name": "LOIDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2023-03-07",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "20567",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME126149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME126149",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016137800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IJ658Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audriana Marie Dean, PA-C
• Deidre Marie Deany, D.C.
• Debilini Inc.
• Francisca Delagarza
• Thomas A Devol, DDS
• Yuselis Diaz Izquierdo, APRN
• Jennifer Marie Dimostra
• Lan Dinh, DMD
• Aline Djiadjeu, REGISTERED NURSE
• Dna Comprehensive Therapy Services, LLC

• Internal Medicine Physician in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.