Individual provider Active NPI

Rosana Cherestal

  • Physician Assistant
  • Miami Gardens, FL
National Provider Identifier
1376431445
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2050PA Issued in PR
Practice address
436 NW 207TH St Apt 107
Miami Gardens, FL 33169-2587
Phone
(863) 667-8346
NPI assigned
Jun 26, 2025
Sex
Female
Sole proprietor
Yes

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
2050PAPRMDPhysician Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2050PA PR Primary

Addresses

NPPES NPI Registry

Primary practice location

436 NW 207TH St Apt 107
Miami Gardens, FL 33169-2587

Mailing address

436 NW 207TH St Apt 107
Miami Gardens, FL 33169-2587
Phone (863) 667-8346

Other practice location 1

436 NW 207th St Apt 107
Miami Gardens, FL 33169-2587
Phone (863) 667-8346

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2025.

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1376431445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 NW 207TH ST APT 107",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692587",
            "telephone_number": "863-667-8346",
            "fax_number": "863-667-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 NW 207TH ST APT 107",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692587",
            "telephone_number": "863-667-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 NW 207th St Apt 107",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "331692587",
            "country_code": "US",
            "telephone_number": "863-667-8346",
            "fax_number": "863-667-8346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERESTAL",
        "first_name": "ROSANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2050PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.