Raul J Roa (NPI# 1316110653, PAC ID# 0143364448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316110653 |
| PAC ID by PECOS | 0143364448 |
| Professional Enrollment ID | I20100224000989 |
| Full Name | Raul J Roa |
| Organization Legal Name | ROA-LICEA MD, PA |
| Address |
3661 S Miami Ave Suite 901 Miami FL 33133-4214 |
| Phone Number | 3055454980 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0345384632 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100167 | PLANTATION GENERAL HOSPITAL |
| 100284 | WESTCHESTER GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3661 S Miami Ave, Suite 901, Miami, FL 33133-4214 | 3055454980 | ROA-LICEA MD, PA |
| 6200 Sw 73 St, South Miami, FL 33143-4679 | 7866624000 | ROA-LICEA MD, PA |
| Organization Legal Name | ROA-LICEA MD, PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Irina Licea | Family Medicine | Roa-licea Md, Pa | 955 Nw 3 St, Miami, FL 33128-1274 |
| Street Address |
3661 S MIAMI AVE SUITE 901 |
| City | MIAMI |
| State | FL |
| Zip | 33133-4214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gustavo A Calleja | Gastroenterology | Gastro Health, LLC | 3661 S Miami Ave, Suite 907, Miami, FL 33133-4214 |
| Robert C Lanoff | Gastroenterology | Gastro Health, LLC | 3661 S Miami Ave, Suite 907, Miami, FL 33133-4214 |
| Jose P Ferrer Jr. | Gastroenterology | Gastro Health, LLC | 3661 S Miami Ave, Suite 907, Miami, FL 33133-4214 |
| Sohail N Shaikh | Gastroenterology | Gastro Health, LLC | 3661 S Miami Ave, Suite 907, Miami, FL 33133-4214 |
| Leon Anijar | Anesthesiology | Christian Gonzalez Md LLC | 3661 S Miami Ave, Suite 906, Miami, FL 33133-4214 |
| Jeffrey L Horstmyer | Neurology | Jeffrey L Horstmyer Md Pa | 3661 S Miami Ave, Suite 209, Miami, FL 33133-4233 |
| Hernan R Baquerizo | Endocrinology | 3661 S Miami Ave, Suite 505, Miami, FL 33133-4200 | |
| George A Sanchez | Gastroenterology | Gastro Health, LLC | 3661 S Miami Ave, Suite 907, Miami, FL 33133-4214 |
| Richard P Milgrim | Gastroenterology | Gastro Health, LLC | 3661 S Miami Ave, Suite 907, Miami, FL 33133-4214 |
| Eduardo Krajewski | Colorectal Surgery (proctology) | Gastro Health, LLC | 3661 S Miami Ave, Suite 907, Miami, FL 33133-4214 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dugald S Macintyre | Infectious Disease | 3361 S Miami Ave, Suite 604, Miami, FL 33133 | |
| Alejandro G Gonzalez | Physical Therapy | 2631 Sw 27th St, Miami, FL 33133-2239 | |
| Maria I Tapia | Clinical Social Worker | 2200 S Dixie Hgwy, Us1 Suite 702, Miami, FL 33133-2300 | |
| Yale M Samole | Cardiovascular Disease (cardiology) | Cardiovascular Medicine Associates Pa | 2250 S Dixie Hwy, Miami, FL 33133-2360 |
| Peter V Popejoy | Psychologist, Clinical | 2000s Dixie Hwy 206, Miami, FL 33133-2455 | |
| Shana K Cox | Clinical Social Worker | Healthy Connections Cmhc Inc | 2780 Sw 37th Ave, Coconut Grove, FL 33133-2740 |
| Diego Espaillat Prestol | Anesthesiology | Sheridan Healthcorp Inc | 2645 S Douglas Rd, Suite 400, Miami, FL 33133-2744 |
| Harris H Mones | Family Medicine | 2645 Sw 37 Ave, Suite 502, Miami, FL 33133-2744 | |
| Eric Zephirin | Podiatry | 2645 Sw 37th Ave, Suite 704, Miami, FL 33133-2745 | |
| Miguel A Nunez Jr. | General Practice | 2645 Sw37th Ave, Suite 603, Miami, FL 33133-2745 | |
| Find all physicians in zip 33133 | |||
| City | MIAMI |
| Zip Code | 33133 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MIAMI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Raul J Roa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.