Individual provider Active NPI

Leticia Aquino Rosado, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1013564889
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002931 Issued in FL
Practice address
3660 Central Ave Ste 9
Fort Myers, FL 33901-8258
Phone
(239) 245-7171
Fax
(239) 245-7115
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002931 FL Primary

Addresses

Primary practice location

3660 Central Ave Ste 9
Fort Myers, FL 33901-8258

Mailing address

4903 Banning St
Lehigh Acres, FL 33971-6565
Phone (239) 285-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104004805 FL Practitioner - Nurse Practitioner 7214388172 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Medical Center Inc CurrentSince Oct 16, 2025 Accepting new patients
SW Florida Regional Medical Center Inc CurrentSince Oct 14, 2023 Accepting new patients
VKJ Associates Corp CurrentSince Oct 14, 2023 Accepting new patients
Joyful Medical Center, Corp Past Accepting new patients

Locations

12595 SW 137th Ave
Ste 110
Miami, FL 33186
Phone (305) 465-9379

5580 19th Ct SW
Ste 2
Naples, FL 34116
Phone (239) 304-2471

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9289/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1013564889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 BANNING ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716565",
            "telephone_number": "239-285-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 CENTRAL AVE STE 9",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018258",
            "telephone_number": "239-245-7171",
            "fax_number": "239-245-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO ROSADO",
        "first_name": "LETICIA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.