IndividualActive
Nidsy Mejia Roque, MD
NPI 1174091938 · Developmental - Behavioral Pediatrics Physician · Coconut Creek, FL
Provider details
- NPI number
- 1174091938
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- ME163922 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6810 Lyons Technology Cir Ste 190
Coconut Creek, FL 33073-4322
Phone: (754) 200-1756
Approximate (ZIP-level) locationGet directions
Mailing address
6810 Lyons Technology Cir Ste 190
Coconut Creek, FL 33073-4322
Registry dates
- Enumerated
- 2018-11-08
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.