Active NPI
Erica Monique Prado del Rey, MSN, APRN, NNC-BC
- Neonatal Nurse Practitioner
- Hollywood, FL
National Provider Identifier
1275230138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 11024964
- Practice address
- 1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402 - Phone
- (954) 265-5324
- NPI assigned
- Feb 10, 2023
- Last updated
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | RN9515442 | FL | |
| Neonatal Nurse Practitioner | 363LN0000X | 11024964 | FL | Primary |
Addresses
Primary practice location
1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402
Mailing address
11342 NW 65TH St
Doral, FL 33178-3626
Phone (786) 566-7914
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN9515442 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| APRN11024964 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
Other names 1
- Mrs. Erica Monique Del Rey
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9515442 | FL | MD | Neonatal Intensive Care Registered Nurse |
| 11024964 | FL | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1275230138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11342 NW 65TH ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331783626",
"telephone_number": "786-566-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 JOE DIMAGGIO DR",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215402",
"telephone_number": "954-265-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADO DEL REY",
"first_name": "ERICA",
"middle_name": "MONIQUE",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, NNC-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-10",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "FL",
"license": "RN9515442",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "FL",
"license": "11024964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
"identifier": "RN9515442",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
"identifier": "APRN11024964",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "DEL REY",
"middle_name": "MONIQUE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.