Irina Licea (NPI# 1649454091, PAC ID# 5890879126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1649454091 |
| PAC ID by PECOS | 5890879126 |
| Professional Enrollment ID | I20100224000979 |
| Full Name | Irina Licea |
| Organization Legal Name | ROA-LICEA MD, PA |
| Address |
955 Nw 3 St Miami FL 33128-1274 |
| Gender | F |
| 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 |
|---|---|---|
| 3100 S Douglas Rd, Coral Gables, FL 33134-6914 | 3054458461 | ROA-LICEA MD, PA |
| 2525 Sw 75 Ave, Miami, FL 33155-2800 | 3052626800 | ROA-LICEA MD, PA |
| 3661 S Miami Ave, Suite 901, Miami, FL 33133-4214 | 3055454980 | ROA-LICEA MD, PA |
| 955 Nw 3 St, Miami, FL 33128-1274 | 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 |
|---|---|---|---|
| Raul J Roa | Family Medicine | Roa-licea Md, Pa | 3661 S Miami Ave, Suite 901, Miami, FL 33133-4214 |
| Street Address |
955 NW 3 ST |
| City | MIAMI |
| State | FL |
| Zip | 33128-1274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guillermo Nino Alonso | Internal Medicine | 955 Nw 3 St, Miami, FL 33128-1274 | |
| Axel L Mercado | Physician Assistant | 955 Nw 3 St, Miami, FL 33128-1274 | |
| Jeffrey T Kilayko | Nurse Practitioner | Luis A Miller Md Pa | 955 Nw 3 St, Miami, FL 33128-1274 |
| Manuel E Garcia | Psychiatry | Manuel E Garcia Md Pa | 955 Nw 3 St, Miami, FL 33128-1274 |
| Manuel A Ojeda | Internal Medicine | Manuel A Ojeda Md Pa | 955 Nw 3 St, Miami, FL 33128-1274 |
| Ingrid Roman | Clinical Psychologist | 955 Nw 3 St, Miami, FL 33128-1274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elke Rouco | Nurse Practitioner | Jose Manuel Sanchez Md Pa | 955 Nw 3rd St, Select Specialty Hospital Miami, Miami, FL 33128-1274 |
| Urairong Rattanakorn | Nurse Practitioner | 955 Nw3rd St, Miami, FL 33128-1274 | |
| Jose M Sanchez | Gastroenterology | Jose Manuel Sanchez Md Pa | 955 Nw 3rd St, Select Specialty Hospital Miami, Miami, FL 33128-1274 |
| Marcelo J Alfano | Clinical Psychologist | 955 Nw 3rd St, Victoria Nursing, Miami, FL 33128-1274 | |
| Juan Carlos Ortiz | Physical Medicine and Rehabilitation | Post-acute Physicians of Florida | 955 Nw3rd St, Suite 500, Miami, FL 33128-1281 |
| Jesse Faxas | Nurse Practitioner | Camillus Health Concern Inc | 336 Nw 5th St, Miami, FL 33128-1616 |
| Roberto F Garcia | Internal Medicine | Camillus Health Concern Inc | 336 Nw 5th St, Miami, FL 33128-1616 |
| Jim Torres | Internal Medicine | Camillus Health Concern Inc | 336 Nw 5th St, Miami, FL 33128-1616 |
| Mercedes Murphy | Nurse Practitioner | Camillus Health Concern Inc | 336 Nw 5th St, Miami, FL 33128-1616 |
| Saraswati Iobst | Internal Medicine | Camillus Health Concern Inc | 336 Nw 5th St, Miami, FL 33128-1616 |
| Find all physicians in zip 33128 | |||
| City | MIAMI |
| Zip Code | 33128 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MIAMI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Irina Licea.
| 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.