Active NPI
Rosanna Bermejo
- Nurse Practitioner
- Miami, FL
National Provider Identifier
1285401018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F12230004
- Practice address
- 2601 SW 37TH Ave Ste 603
Miami, FL 33133-2750 - Phone
- (305) 356-7402
- Fax
- (305) 356-7402
- NPI assigned
- Dec 12, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F12230004 | FL | Primary |
Addresses
Primary practice location
2601 SW 37TH Ave Ste 603
Miami, FL 33133-2750
Mailing address
2831 S Bayshore Dr Unit 908
Miami, FL 33133-6071
Phone (305) 582-1629
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F12230004 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1285401018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 S BAYSHORE DR UNIT 908",
"city": "MIAMI",
"state": "FL",
"postal_code": "331336071",
"telephone_number": "305-582-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 SW 37TH AVE STE 603",
"city": "MIAMI",
"state": "FL",
"postal_code": "331332750",
"telephone_number": "305-356-7402",
"fax_number": "305-356-7402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMEJO",
"first_name": "ROSANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "F12230004",
"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 Dec 12, 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.