Individual provider Active NPI

Victoria Roque, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1801436910
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005325 Issued in FL
Practice address
19161 NW 57TH CT
Hialeah, FL 33015-5042
Phone
(786) 488-3304
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 41599283 IL
Nurse Practitioner 363L00000X 5024331 NC
Nurse Practitioner 363L00000X 16253 CT
Nurse Practitioner 363L00000X 326247 AZ
Nurse Practitioner 363L00000X 26NJ15589400 NJ
Family Nurse Practitioner 363LF0000X 0024191319 VA
Nurse Practitioner 363L00000X 1176649 TX
Registered Nurse 163W00000X RN9405352 FL
Family Nurse Practitioner 363LF0000X 1176649 TX
Nurse Practitioner 363L00000X 209034268 IL
Family Nurse Practitioner 363LF0000X APRN11005325 FL Primary
Nurse Practitioner 363L00000X A184021 IA
Registered Nurse 163W00000X 960793 NY
Family Nurse Practitioner 363LF0000X GAA-NP002774 GA
Family Nurse Practitioner 363LF0000X 355287 NY

Addresses

Primary practice location

19161 NW 57TH CT
Hialeah, FL 33015-5042

Mailing address

19161 NW 57TH CT
Hialeah, FL 33015-5042
Phone (786) 488-3304

Other identifiers 1

IdentifierTypeStateIssuer
108861300MedicaidFL

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
I20200717002768 FL Practitioner - Nurse Practitioner 2860816279 Practice locations: Hialeah, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9405352FLMDRegistered Nurse
960793NYMDRegistered Nurse
326247AZMDNurse Practitioner
APRN11005325FLMDFamily Nurse Practitioner
GAA-NP002774GAMDFamily Nurse Practitioner
355287NYMDFamily Nurse Practitioner
1176649TXMDFamily Nurse Practitioner
0024191319VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Holdings Company LLC Current Accepting new patients
Palm Medical Centers CurrentSince Aug 11, 2025 Accepting new patients
Palm Medical Center Hialeah, LLC CurrentSince Aug 11, 2025 Accepting new patients
Allergy & Asthma Associates of South Florida PA Allergy & Immunology PastSince Jan 1, 2020 Accepting new patients
Allergy & Asthma Associates of South Florida PA Allergy & Immunology PastSince Jan 1, 2020 Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

6849 Taft St
Hollywood, FL 33024
Phone (954) 266-2920

733 S Goldenrod Rd
Ste B
Orlando, FL 32822
Phone (407) 249-7999

1509 W Reynolds St
Plant City, FL 33563
Phone (813) 704-6905

950 1st St S
Winter Haven, FL 33880
Phone (863) 293-7778

950 1st St S
Ste 203
Winter Haven, FL 33880

6836 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 778-0454

Interoperability endpoints

  • Direct secure messaging: victoria.roque.1@30520.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1801436910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19161 NW 57TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155042",
            "telephone_number": "786-488-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19161 NW 57TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155042",
            "telephone_number": "786-488-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "VICTORIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "41599283",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024331",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "16253",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "326247",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15589400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191319",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1176649",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9405352",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1176649",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209034268",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005325",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A184021",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "960793",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP002774",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108861300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.