Individual provider Active NPI

Rosa Ana Cuetara

  • Family Nurse Practitioner
  • Greenacres, FL
National Provider Identifier
1275356990
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11036296 Issued in FL
Practice address
6135 Lake Worth Rd # 100
Greenacres, FL 33463-3074
Phone
(561) 434-0060
NPI assigned
Nov 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 APRN11036296 FL Primary

Addresses

Primary practice location

6135 Lake Worth Rd # 100
Greenacres, FL 33463-3074

Mailing address

6135 Lake Worth Rd # 100
Greenacres, FL 33463-3074

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
I20241120004672 FL Practitioner - Nurse Practitioner 9638604150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

6135 Lake Worth Rd
Suite 100
Greenacres, FL 33463-3074
Phone (561) 434-0060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC CurrentSince Dec 9, 2024 Accepting new patients
Gastro Health LLC Current Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

6135 Lake Worth Rd
Ste 100
Greenacres, FL 33463

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

Interoperability endpoints

  • Direct secure messaging: rosa.cuetara@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 2

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": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1275356990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 LAKE WORTH RD # 100",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 LAKE WORTH RD # 100",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633074",
            "telephone_number": "561-434-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUETARA",
        "first_name": "ROSA",
        "middle_name": "ANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.