ROA-LICEA MD, PA (NPI# 1033445069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033445069 |
| Entity Type | Organization |
| Organization Name | ROA-LICEA MD, PA |
| Practice Address |
1321 Nw 14th Street Suite 601 Miami FL 33125-1659 |
| Mailing Address |
1321 Nw 14th St Suite 601 Miami FL 33125-1673 |
| Practice Telephone | 3055454980 |
| Practice Fax Number | 3056699820 |
| Mailing Telephone | 3055454980 |
| Mailing Fax Number | 3056699820 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2012-07-19 |
| Authorized Official Name | DR. IRINA LICEA (CO-OWNER) |
| Authorized Official Telephone | 7865642584 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1321 NW 14TH STREET SUITE 601 |
| City | MIAMI |
| State | FL |
| Zip Code | 33125-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861506479 | Florida Foot & Ankle Associates, LLC | Podiatrist | 1321 Nw 14th Street, Suite 103, Miami, FL 33125-1653 | 2006-08-19 |
| 1134420292 | Raquel F Chertman | Physician Assistant | 1321 Nw 14th Street, Suite 304, Miami, FL 33125 | 2010-11-05 |
| 1518154483 | Francis N Crespo Md Pa | Specialist | 1321 Nw 14th Street, Suite 400, Miami, FL 33125-1673 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1548872971 | Easter Seals South Florida, Inc. | Home Health | 1475 Nw 14 Ave, Miami, FL 33125 | 2020-08-18 |
| 1295368991 | Stellar Alf II LLC | Assisted Living Facility | 3055 N.w. Flagler Terr., Miami, FL 33125 | 2020-02-20 |
| 1841773546 | Enmanuel Alejandro Iglesias | Speech-Language Pathologist | Thera-pro Care,llc 888 Nw 27 Avenue, Suite 5, Miami, FL 33125 | 2018-09-10 |
| 1588158117 | Josefina Cammarano De Casas | Behavior Technician | 720 Nw 19th Ct., Miami, FL 33125 | 2018-06-18 |
| 1861984262 | Patricia Gabbidon | Audiologist | 1201 Nw 16th St Rm 2a151, Miami, FL 33125 | 2018-05-31 |
| 1154829471 | Iviana Tamara Farinas | Nurse Practitioner | 1951 Nw 7th Street, Miami, FL 33125 | 2018-02-01 |
| 1316452634 | Dayana A Perez Del Pozo | Physical Therapy Assistant | 1422 Nw 7th Street, Marlins Park Third Base Entrance, Miami, FL 33125 | 2017-12-08 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| 1609398247 | Yaremi Ramirez | Behavioral Analyst | 2145 Nw 13th St, Miami, FL 33125 | 2017-07-14 |
| Find all providers in zip 33125 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057501 | Crossover Health Medical Group | Specialist | 1 Telemundo Way, Miami, FL 33182 | 2020-03-05 |
| 1417594581 | Anamaria Nevares | Specialist | 1601 Nw 12th Ave Ste 2018, Miami, FL 33136-1005 | 2019-12-07 |
| 1619491891 | Stellae LLC | Specialist | 8323 Nw 12 Street, Suite 115, Miami, FL 33126 | 2017-07-31 |
| 1083136808 | Venecia Lasalle Jean | Specialist | 6304 Nw 14th Ave, Miami, FL 33147-8008 | 2017-07-13 |
| 1073063210 | Care for Children Pediatric Services, M.d.,p.a. | Specialist | 3228 Nw 7th St, Miami, FL 33125-4102 | 2016-10-12 |
| 1366995573 | Play To Learn Therapy, Inc. | Specialist | 10841 Sw 128th St, Miami, FL 33176-5442 | 2016-07-25 |
| 1699123323 | Leydi Reyes Figueredo | Specialist | 100 Sw 110th Ave Apt 132, Miami, FL 33174-1255 | 2016-06-03 |
| 1134574288 | Javier Perez Mena I | Specialist | 10105 Nw 9th Street Cir Apt 203, Miami, FL 33172-3290 | 2016-04-26 |
| 1528423571 | Andres Tamayo Md | Specialist | 7357 W Flagler St, Miami, FL 33144-2557 | 2015-12-17 |
| 1134591001 | Keen Radiology, LLC | Specialist | 3500 Munroe Dr, Miami, FL 33133-5932 | 2015-10-30 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.