| Melba Maria Roa, MD | |
|
9861 E. Fern Street, Palmetto Bay, FL 33157 | |
| (305) 534-0076 | |
| Not Available |
| Full Name | Melba Maria Roa |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 9861 E. Fern Street, Palmetto Bay, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831148279 | NPI | - | NPPES |
| JO015 | Other | FL | MEDICARE |
| 100175000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME72456 (Florida) | Secondary |
| 208D00000X | General Practice | ME72456 (Florida) | Primary |
| Entity Name | Rodolfo Dumenigo Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150919 PECOS PAC ID: 8325030737 Enrollment ID: O20040402000858 |
| Mailing Address | Practice Location Address |
|---|---|
| Melba Maria Roa, MD 1400 Nw 107th Ave Ste 500, Sweetwater, FL 33172-2746 Ph: (305) 534-0076 | Melba Maria Roa, MD 9861 E. Fern Street, Palmetto Bay, FL 33157 Ph: (305) 534-0076 |
Dr. Gerardo Diaz, M.D General Practice Medicare: Accepting Medicare Assignments Practice Location: 14201 S Dixie Hwy, Palmetto Bay, FL 33176 Phone: 786-227-6396 Fax: 786-227-6456 | |
Mrs. Lucia Rosario, General Practice Medicare: Not Enrolled in Medicare Practice Location: 8844 Sw 176th Ter Bay 33157, Palmetto Bay, FL 33157 Phone: 305-972-7836 Fax: 305-735-6481 | |
Dr. Maria T Garcia, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 9299 Sw 152nd St Ste 200, Palmetto Bay, FL 33157 Phone: 305-407-8824 Fax: 305-407-8028 |