Individual provider Active NPI

Rosa Iivia Campos Martinez

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1326732611
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024329 Issued in FL
Practice address
2436 SW 7TH St Apt 4
Miami, FL 33135-3023
Phone
(786) 870-3409
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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 110243209 FL
Family Nurse Practitioner 363LF0000X 11024329 FL Primary

Addresses

Primary practice location

2436 SW 7TH St Apt 4
Miami, FL 33135-3023

Mailing address

2436 SW 7TH St Apt 4
Miami, FL 33135-3023
Phone (786) 870-3409

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

LicenseStateTypeSpecialty
110243209FLMDFamily Nurse Practitioner
11024329FLMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1326732611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 SW 7TH ST APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353023",
            "telephone_number": "786-870-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 SW 7TH ST APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353023",
            "telephone_number": "786-870-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS MARTINEZ",
        "first_name": "ROSA",
        "middle_name": "IIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "110243209",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024329",
            "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 Jun 8, 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.

Verify at the official NPI Registry.