MEDICARE: DR. ROXANA MILLOR ROSQUET

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	1223G0001X	General Practice Dentistry	28028	FL

General Provider Information

NPI Number	:	1295410314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROXANA MILLOR ROSQUET

Provider Business Mailing Address
First Line	:	8670 SW 212TH ST APT 107
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-3352
Country	:	US
Telephone Number	:	786-863-0904
Fax Number	:

Provider Business Practice Location Address
First Line	:	8500 W FLAGLER ST STE 102A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2043
Country	:	US
Telephone Number	:	305-266-0341
Fax Number	:

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

Provider Enumeration Date	:	06/16/2023
Last Update Date	:	06/16/2023

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