MEDICARE: GRACIELA ROQUE LINARES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9306890	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689025033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACIELA ROQUE LINARES

Provider Business Mailing Address
First Line	:	10760 W FLAGLER ST STE 11
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-4404
Country	:	US
Telephone Number	:	305-554-5144
Fax Number	:	855-676-6399

Provider Business Practice Location Address
First Line	:	10760 W FLAGLER ST STE 11
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-4404
Country	:	US
Telephone Number	:	305-554-5144
Fax Number	:	855-676-6399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	03/03/2026

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Directions to “ GRACIELA ROQUE LINARES ” Practice Location

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