Individual provider Active NPI

Laura Rotllan, ARNP-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1023626165
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008002 Issued in FL
Practice address
16236 SW 97TH St
Miami, FL 33196-5942
Phone
(786) 312-8139
NPI assigned
Jul 15, 2020
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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 11008002 FL Primary

Addresses

Primary practice location

16236 SW 97TH St
Miami, FL 33196-5942

Mailing address

16236 SW 97TH St
Miami, FL 33196-5942
Phone (786) 312-8139

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
I20201111000453 FL Practitioner - Nurse Practitioner 0042620643 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008002FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs PC CurrentSince Jun 17, 2024 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Jan 1, 2021 Accepting new patients
Abreu & Sanchez Medical Group LLC CurrentSince Jun 1, 2023 Accepting new patients
QMC LLC Past Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

1200 SW 1st St
Miami, FL 33135
Phone (305) 324-2000

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

2801 NW 79th Ave
Ste 404
Miami, FL 33122
Phone (786) 281-6917

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1023626165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16236 SW 97TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965942",
            "telephone_number": "786-312-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16236 SW 97TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965942",
            "telephone_number": "786-312-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTLLAN",
        "first_name": "LAURA",
        "credential": "ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.