Individual provider Active NPI

Rosa Maria Poviones Garbalosa, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1316472129
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9309698 Issued in FL
Practice address
11760 Bird Rd Ste 539
Miami, FL 33175-8100
Phone
(305) 228-6200
Fax
(305) 228-1314
NPI assigned
Apr 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9309698 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9309698 FL Primary

Addresses

Primary practice location

11760 Bird Rd Ste 539
Miami, FL 33175-8100

Mailing address

20230 NW 42ND Ave
Miami Gardens, FL 33055-1335
Phone (786) 394-0811

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
I20180507001497 FL Practitioner - Nurse Practitioner 3870857436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adrian de Castro-Quiros, M.D., PLLCGroup PAC ID 0840535167, 2 clinicians

Practice addresses (Care Compare)

11760 Bird Rd
Suite 539
Miami, FL 33175-8100
Phone (305) 228-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9309698FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian de Castro-Quiros, M.D., PLLC CurrentSince Oct 5, 2024 Accepting new patients
Dade Family Counseling Community Mental Health Center, Inc CurrentSince Mar 30, 2023 Accepting new patients

Locations

9350 Sunset Dr
Ste 151
Miami, FL 33173
Phone (786) 548-1022

11760 SW 40th St
Ste 539
Miami, FL 33175
Phone (305) 228-6200

1951 NW 17th Ave
Miami, FL 33125
Phone (305) 265-9220

Networks

  • HealthSun Health Plans Network

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": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1316472129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20230 NW 42ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551335",
            "telephone_number": "786-394-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD STE 539",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758100",
            "telephone_number": "305-228-6200",
            "fax_number": "305-228-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVIONES GARBALOSA",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-30",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9309698",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9309698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.