Diana Roque (NPI# 1558390484, PAC ID# 7214835974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1558390484 |
| PAC ID by PECOS | 7214835974 |
| Professional Enrollment ID | I20071203000322 |
| Full Name | Diana Roque |
| Address |
10841 Park Dr Riverview FL 33569-5148 |
| Gender | F |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PREVENTATIVE MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10841 Park Dr, Riverview, FL 33569-5148 |
| Street Address |
10841 PARK DR |
| City | RIVERVIEW |
| State | FL |
| Zip | 33569-5148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elba I Arroyo-velez | Family Medicine | 9366 Balm Riverview Rd, Riverview, FL 33569-5104 | |
| Mark S Luedke | Optometry | 9433 Balm Riverview Rd, Suite 102, Riverview, FL 33569-5120 | |
| Victoria A Capezza | Physician Assistant | American Arthritis and Rheumatology Associates LLC | 11954 Boyette Rd, Riverview, FL 33569-5601 |
| Pramjeet Ahluwalia | Internal Medicine | 11922 Boyette Rd, Riverview, FL 33569-5601 | |
| Tiffany Le | Chiropractic | 11952 Boyette Rd, Riverview, FL 33569-5601 | |
| Ricardo A Rosado | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 11906 Boyette Rd, Riverview, FL 33569-5601 |
| Natalie C Wynn | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 11906 Boyette Rd, Riverview, FL 33569-5601 |
| Joanna Bailey | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 11906 Boyette Rd, Riverview, FL 33569-5601 |
| Eugenio Oliveros | Nurse Practitioner | Florida Anesthesia Medical Services 1, Pa | 11906 Boyette Rd, Riverview, FL 33569-5601 |
| Katherine F Fowler | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 11906 Boyette Rd, Riverview, FL 33569-5601 |
| Find all physicians in zip 33569 | |||
| City | RIVERVIEW |
| Zip Code | 33569 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | RIVERVIEW + INTERNAL MEDICINE |
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| 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.