Individual provider Active NPI

Jorge Rafael Rosello, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1306274907
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9339485 Issued in FL
Practice address
6421 SW 55TH St
Miami, FL 33155-6455
Phone
(786) 348-7898
NPI assigned
Oct 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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 ARNP 9339485 FL Primary

Addresses

Primary practice location

6421 SW 55TH St
Miami, FL 33155-6455

Mailing address

6421 SW 55TH St
Miami, FL 33155-6455
Phone (786) 348-7898

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
I20140328001642 FL Practitioner - Nurse Practitioner 3779661640 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9339485FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lamas Surgical Associates P.a. CurrentSince Dec 15, 2013 Accepting new patients

Locations

372 W 47th St
Hialeah, FL 33012
Phone (305) 698-0112

Organizations & group practices 1

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": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1306274907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 SW 55TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556455",
            "telephone_number": "786-348-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 SW 55TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556455",
            "telephone_number": "786-348-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLO",
        "first_name": "JORGE",
        "middle_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9339485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.