Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roa-Licea MD, PA

Organization Specialist · NPI 1033445069

Roa-Licea MD, PA is a Specialist in Miami, Florida. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1321 NW 14th St Ste 601
Miami, FL 33125-1659
Phone: (305) 545-4980
Fax: (305) 669-9820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1033445069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Irina Licea — Co-Owner · (786) 564-2584
NPI enumeratedOctober 27, 2009
Last updated in NPPESJuly 19, 2012
Mailing address1321 Nw 14th St, Suite 601, Miami, FL 33125-1673

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