Active NPI
Mira Rosental, MD
- Gynecology Physician
- Miami, FL
National Provider Identifier
1174761126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME47786
- Practice address
- 3250 S Dixie Hwy
Miami, FL 33133-3609 - Phone
- (305) 441-0304
- Fax
- (305) 441-2947
- NPI assigned
- Jan 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME47786 | FL | Primary |
Addresses
Primary practice location
3250 S Dixie Hwy
Miami, FL 33133-3609
Mailing address
909 NE 163 STR.
Suite 402
North Miami Beach, FL 33162
Phone (305) 944-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME47786 | FL | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1174761126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 NE 163 STR.",
"address_2": "SUITE 402",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33162",
"telephone_number": "305-944-4111",
"fax_number": "305-944-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 S DIXIE HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331333609",
"telephone_number": "305-441-0304",
"fax_number": "305-441-2947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTAL",
"first_name": "MIRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME47786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.