LAZARO ROQUE (NPI# 1134425242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134425242 |
| Entity Type | Individual |
| Full Name | LAZARO ROQUE |
| Credential | COTA |
| Practice Address |
1897 Ne 146th St North Miami FL 33181-1423 |
| Practice Telephone | 3059494191 |
| Practice Fax Number | 3059494833 |
| Mailing Telephone | 3059494191 |
| Mailing Fax Number | 3059494833 |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OAT 11601 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | COTA FLORIDA LICENSE | OAT11601 | 01 |
| Street Address |
1897 NE 146TH ST |
| City | NORTH MIAMI |
| State | FL |
| Zip Code | 33181-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834660 | Anshela Francinne Lachhman | Specialist/Technologist | 1897 Ne 146th St, North Miami, FL 33181-1423 | 2019-11-05 |
| 1760025050 | Rachelle David | Specialist/Technologist | 1897 Ne 146th St, North Miami, FL 33181-1423 | 2019-10-20 |
| 1639724420 | Michelle Romero | Specialist/Technologist | 1897 Ne 146th St, North Miami, FL 33181-1423 | 2019-08-07 |
| 1598228942 | Zakie Johnson | Specialist/Technologist | 1897 Ne 146th St, North Miami, FL 33181-1423 | 2019-04-12 |
| 1609330240 | Andrea Isabel Rancano | Speech-Language Pathologist | 1897 Ne 146th St, North Miami, FL 33181-1423 | 2019-01-28 |
| 1144797788 | Debbie Mordak | Specialist/Technologist | 1897 Ne 146th St, North Miami, FL 33181-1423 | 2018-11-01 |
| 1487170015 | Janell Jordi | Speech-Language Pathologist | 1897 Ne 146th St, North Miami, FL 33181 | 2017-08-15 |
| 1447780663 | Julia Maman | Occupational Therapist | 1897 Ne 146th St, North Miami, FL 33181 | 2017-06-20 |
| 1104290196 | Winston Kennedy | Physical Therapist | 1897 Ne 146th St, North Miami, FL 33181-1423 | 2015-11-14 |
| 1588031181 | Shanon Batchanoo | Occupational Therapist | 1897 Ne 146th St, North Miami, FL 33181-1423 | 2015-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586553 | Roberto M Molina | Physical Therapist | 2640 Ne 135th St Apt 207, North Miami, FL 33181 | 2020-04-01 |
| 1225676240 | Alexander M. Matz P.a. | Physical Therapist | 2240 N.e. 123rd Street, North Miami, FL 33181 | 2019-12-20 |
| 1427586858 | Barbara Machado | Behavioral Analyst | 2254 Ne 136th Terra, North Miami Beach, FL 33181 | 2017-05-30 |
| 1003350026 | Yuma Jean Louis | Behavior Technician | 14895 Ne 18th Ave, North Miami, FL 33181 | 2016-12-09 |
| 1417302381 | Canga Group Inc | Durable Medical Equipment & Medical Supplies | 12555 Biscayne Blvd Ste 950, Miami, FL 33181 | 2016-04-28 |
| 1912367798 | Taly Kadoch | Counselor | 1966 Ne 125th Street, #210, Miami, FL 33181 | 2016-03-07 |
| 1972974699 | Mireille Cange | Nurse Practitioner | 11645 Biscayne Blvd Ste 308, North Miami, FL 33181 | 2015-10-08 |
| 1770959371 | Ushc | Massage Therapist | 1966 Ne 123rd Street, #210, Miami, FL 33181 | 2015-08-18 |
| 1497178834 | Dentalvana | Dentist | 12417 Biscayne Blvd, North Miami, FL 33181 | 2014-01-21 |
| 1720419443 | David Jativa | Internal Medicine | 14358 Biscayne Blvd, North Miami, FL 33181 | 2013-12-05 |
| Find all providers in zip 33181 | ||||
| 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 |
|---|---|---|---|---|
| 1285099440 | Dorotie Andre | Specialist | 11610 N Bayshore Dr, Apt 2a, North Miami, FL 33181-3256 | 2015-12-15 |
| 1952793960 | Stephen J. Clifford Md, Inc. | Specialist | 12996 W Dixie Hwy, North Miami, FL 33161-4810 | 2015-02-27 |
| 1043577026 | Edward Konat | Specialist | 14232 Ne 3rd Ct, North Miami, FL 33161-2810 | 2012-04-16 |
| 1558689026 | Liberty Kids Inc | Specialist | 14951 Royal Oaks Ln Apt 305, North Miami, FL 33181-2475 | 2010-05-09 |
| 1649475526 | Dina M Cine | Specialist | 1595 Ne 135th St, Apt 223, North Miami, FL 33161-4472 | 2007-06-19 |
| 1396809141 | Rachel Allyssa Cohen | Specialist | 2142 Ne 123rd St, North Miami, FL 33181-2902 | 2006-12-19 |
| 1073689022 | Francisco Suarez-mederos | Specialist | 2415 Magnolia Dr, North Miami, FL 33181-2222 | 2006-11-28 |
| 1447359989 | Aran Eye Associates Pa | Specialist | 290 N W 165 Street, 4th Floor, Ph 2, North Miami, FL 33169 | 2006-09-21 |
| 1275554677 | Lisa Renee Waxman | Specialist | 13290 Biscayne Bay Ter, North Miami, FL 33181-2230 | 2006-07-21 |
| 1215912985 | O Yes Medical Services Inc. | Specialist | 12550 Biscayne Blvd, Suite306, North Miami, FL 33181-2541 | 2005-12-14 |
| Find all providers in NORTH MIAMI | ||||
| City | NORTH MIAMI |
| Zip Code | 33181 |
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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.