Deeni Luz De la Rosa Perez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P6370 Issued in TX

Practice address

1729 8TH Ave
Fort Worth, TX 76110-1349

Phone

(682) 885-3301

Fax

(682) 885-3399

NPI assigned

Jul 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deeni.de.la.rosa.1@24299.direct.athenahealth.com
• Direct secure messaging: deeni.de.la.rosa.perez.1@27317.direct.athenahealth.com

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.

• 4L-a Clinic and Consultants Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Duncanville, TX
  • NPI 1659018604

  Pediatrics

  Medicare reassignment NPD
• Cook Children'S Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1750369203
  Medicare reassignment NPD
• Delar Pediatrics PLLC

  • Pediatrics Physician
  • Irving, TX
  • NPI 1053042796
  NPD Authorized official
• Cook Children'S Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1083472062
  NPD
• Texans Health & Wellness Center PLLC

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1457993297
  NPD (past)

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1346596103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101349",
            "telephone_number": "682-885-3301",
            "fax_number": "682-885-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA PEREZ",
        "first_name": "DEENI",
        "middle_name": "LUZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "ADO894952421",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P6370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imelda De la Cruz, LCSW
• Veronica De la Cruz, MS CCC SLP
• Alexandria De la Fuente, M.D.
• Guadalupe De la Fuente Jr., M.D.
• Kayelyn De la Parra, LPC
• Silvana De la Torre Acosta
• Alejandro Javier De la Torre, M.D.
• Melissa Chavira De la Vega, PMHNP
• Sarah De Land, APRN, ACNP-BC
• Beverly L De Leon, SLP

• Pediatrics Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.

Verify at the official NPI Registry.