Individual provider Active NPI

Placido M Roquiz Jr., MD PA

  • Surgery Physician
  • Sebring, FL
National Provider Identifier
1942266218
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME48281 Issued in FL
Practice address
6801 US Highway 27 N
Ste B1
Sebring, FL 33870-7840
Phone
(863) 385-7757
Fax
(863) 385-3564
NPI assigned
Apr 25, 2006
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME48281 FL Primary

Addresses

Primary practice location

6801 US Highway 27 N
Ste B1
Sebring, FL 33870-7840

Mailing address

19105 N US Highway 41
Suite 300
Lutz, FL 33549-4206
Phone (863) 385-7757

Other identifiers 2

IdentifierTypeStateIssuer
020007111OtherFLRAILROAD MEDICARE
045590301MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1942266218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19105 N US HIGHWAY 41",
            "address_2": "SUITE 300",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494206",
            "telephone_number": "863-385-7757",
            "fax_number": "863-385-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 US HIGHWAY 27 N",
            "address_2": "STE B1",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707840",
            "telephone_number": "863-385-7757",
            "fax_number": "863-385-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUIZ",
        "first_name": "PLACIDO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME48281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020007111",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045590301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.