Active NPI
Jose Angel Rosales Carrazana, FNP
- Nurse Practitioner
- North Miami, FL
National Provider Identifier
1336740448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F11200050
- Practice address
- 1255 NE 135TH St
North Miami, FL 33161-4312 - Phone
- (305) 891-6850
- NPI assigned
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9498948 | FL | |
| Nurse Practitioner | 363L00000X | F11200050 | FL | Primary |
Addresses
Primary practice location
1255 NE 135TH St
North Miami, FL 33161-4312
Mailing address
1595 NE 135TH St Apt 339
North Miami, FL 33161-4476
Phone (305) 469-3819
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9498948 | FL | MD | Registered Nurse |
| F11200050 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floridian Health Centers, LLC | Current | Accepting new patients |
Locations
17395 NW 59th Ave
Hialeah, FL 33015
Phone (305) 560-5302
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.
-
- Primary Care Clinic/Center
- Hialeah, FL
- NPI 1093481178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1336740448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 NE 135TH ST APT 339",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331614476",
"telephone_number": "305-469-3819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 NE 135TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331614312",
"telephone_number": "305-891-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALES CARRAZANA",
"first_name": "JOSE",
"middle_name": "ANGEL",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9498948",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "F11200050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.