Individual provider Active NPI

Jose Luis Fernandez Rojas, APRN

  • Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1447884739
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11006242 Issued in FL
Practice address
17820 NW 55TH CT
Miami Gardens, FL 33055-3118
Phone
(786) 479-8481
NPI assigned
Feb 26, 2020
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11006242 FL Primary

Addresses

Primary practice location

17820 NW 55TH CT
Miami Gardens, FL 33055-3118

Mailing address

17820 NW 55TH CT
Miami Gardens, FL 33055-3118
Phone (786) 479-8481

Other practice location 1

3402 N Andrews Avenue Ext
Pompano Beach, FL 33064-2067
Phone (954) 368-1302

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
I20250603004470 FL Practitioner - Nurse Practitioner 5991214660 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11006242FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Luis Fernandez Rojas Aprn LLC CurrentSince Jun 2, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1447884739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17820 NW 55TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553118",
            "telephone_number": "786-479-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 NW 55TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553118",
            "telephone_number": "786-479-8481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 N Andrews Avenue Ext",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330642067",
            "country_code": "US",
            "telephone_number": "954-368-1302",
            "fax_number": "954-656-3219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ ROJAS",
        "first_name": "JOSE LUIS",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11006242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.