Individual provider Active NPI

Jose Angel Rosales Carrazana, FNP

  • Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1336740448
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F11200050 Issued in FL
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

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250217001055 FL Practitioner - Nurse Practitioner 1254861529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9498948FLMDRegistered Nurse
F11200050FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floridian Health Centers, LLC CurrentSince Feb 3, 2025 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.

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

Verify at the official NPI Registry.