ROA-LICEA MD, PA
NPI 1033445069
Specialist in Miami, FL
About Roa-licea Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROA-LICEA MD, PA (NPI 1033445069) is a healthcare organization registered as a specialist in Miami, Florida and active in the NPI registry since October 2009. The organization lists Irina Licea, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roa-licea Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Roa-Licea MD, PA, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Roa-Licea MD, PA's NPI number?
The NPI number for Roa-Licea MD, PA is 1033445069. It was assigned to this organization in the NPPES registry on October 27, 2009.
Where is Roa-Licea MD, PA located?
Roa-Licea MD, PA is located at 1321 NW 14th Street Suite 601, Miami, FL 33125. The listed phone number is (305) 545-4980.
What is Roa-Licea MD, PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Roa-Licea MD, PA enrolled in Medicare?
Yes. Roa-Licea MD, PA is registered in the Medicare PECOS enrollment system.
When is Roa-Licea MD, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Roa-Licea MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Roa-Licea MD, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Roa-Licea MD, PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Roa-Licea MD, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Roa-Licea MD, PA was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Roa-Licea Md, Pa · NPI 1033445069
Specialist organization in Miami, Florida. Organization record, active in the CMS NPPES registry since October 27, 2009.
## Identity
- **NPI:** 1033445069 (Entity type: Organization)
- **Enumerated:** October 27, 2009
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Irina Licea, CO-OWNER
## Practice location
- **Address:** 1321 NW 14TH STREET, SUITE 601, Miami, FL 33125-1659
- **Phone:** (305) 545-4980 · **Fax:** (305) 669-9820
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (2); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1033445069) · Data from the CMS NPPES public registry.