Norma B Roque, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9108145 Issued in FL

Practice address

10980 SW 184TH St
Cutler Bay, FL 33157-6615

Phone

(305) 266-2929

Fax

(305) 627-3862

NPI assigned

May 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Centrum Medical Holdings, LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1538714282
  Medicare reassignment Care Compare group NPD (past)
• Centrum Medical Centers Kendall, LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1912625153
  NPD
• Centrum Medical Holdings, LLC Dba Centrum Health

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1578110557
  NPD
• Medcare Centers, LLC

  • Primary Care Clinic/Center
  • Cutler Bay, FL
  • NPI 1548802010
  NPD
• Medcare Centers, LLC

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1578105052
  NPD

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1922486638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 NW 36TH ST STE 300",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782499",
            "telephone_number": "305-262-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10980 SW 184TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576615",
            "telephone_number": "305-266-2929",
            "fax_number": "305-627-3862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 SW 140th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753631",
            "country_code": "US",
            "telephone_number": "786-925-7559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "NORMA",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2023-04-27",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001521440",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA9108145",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivonne Romero
• Lily Coral Romero, RBT
• Migdalia Romero
• Ronda'S Family Care LLC
• Yiliana Rondon Pino
• Maria Sandra Rosales Nunez
• Dailys Rosales, RBT
• Amneris Rosario Guridys, MS, LMHC
• Lizbette Rosario
• Natalia Rosas

• Medical Physician Assistant in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.