| Dr Raul Roa, MD | |
|
1321 Nw 14th St Ste 102, Miami, FL 33125-1653 | |
| (305) 545-4980 | |
| (305) 545-4913 |
| Full Name | Dr Raul Roa |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 1321 Nw 14th St Ste 102, Miami, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316110653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME102522 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Plantation General Hospital | Plantation, FL | Hospital |
| Westchester General Hospital | Miami, FL | Hospital |
| Unity Health And Rehabilitation Center | Miami, FL | Nursing home |
| Floridean Nursing And Rehabilitation Center, The | Miami, FL | Nursing home |
| Miami Shores Nursing And Rehab Center | Miami, FL | Nursing home |
| Ponce Plaza Nursing & Rehabilitation Center | Miami, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roa-licea Md, Pa | 0345384632 | 2 |
| Entity Name | Roa-licea Md, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033445069 PECOS PAC ID: 0345384632 Enrollment ID: O20100224000958 |
| Entity Name | Radial Health Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174159891 PECOS PAC ID: 7113357476 Enrollment ID: O20200429000224 |
| Entity Name | Mg H2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710583976 PECOS PAC ID: 8022427301 Enrollment ID: O20210518000844 |
| Entity Name | Southern Winds Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871176222 PECOS PAC ID: 2264767565 Enrollment ID: O20220805000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raul Roa, MD 1321 Nw 14th St Ste 102, Miami, FL 33125-1653 Ph: (305) 545-4980 | Dr Raul Roa, MD 1321 Nw 14th St Ste 102, Miami, FL 33125-1653 Ph: (305) 545-4980 |
Rosabel Maria Bencomo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6840 Sw 40th St Ste 209, Miami, FL 33155 Phone: 786-222-8807 Fax: 305-763-8379 | |
Luis Mario Molina, MA Family Medicine Medicare: Medicare Enrolled Practice Location: 15736 Sw 50th Ter, Miami, FL 33185 Phone: 786-294-2772 | |
Dr. Rachael Nambusi, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 N Bayshore Dr # R230, Miami, FL 33132 Phone: 305-744-4922 Fax: 217-771-1814 | |
Katherine Del Valle Tovar Sanchez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3632 Nw 25th Ave, Miami, FL 33142 Phone: 305-900-5888 Fax: 786-422-1509 | |
Elizabeth Estrada Mesa, MD, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Sw 75th Ave, Miami, FL 33155 Phone: 305-264-5252 | |
Elena Marta Pernas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11501 Sw 40th St, Miami, FL 33165 Phone: 305-642-5366 | |
Rodolfo Hanabergh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7490 Sw 23rd St, 201, Miami, FL 33155 Phone: 786-615-3013 Fax: 786-953-7514 |