Active NPI
Rafael Rosales Perez, FNP
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1447923792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11014459
- Practice address
- 11373 SW 211TH St Ste 16
Miami, FL 33189-2247 - Phone
- (305) 234-0009
- Fax
- (305) 234-8688
- NPI assigned
- Jul 30, 2021
- Last updated
- Apr 21, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11014459 | FL | Primary |
Addresses
Primary practice location
11373 SW 211TH St Ste 16
Miami, FL 33189-2247
Mailing address
11373 SW 211TH St Ste 16
Miami, FL 33189-2247
Phone (305) 234-0009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114078600 | Medicaid | FL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240320002081 | FL | Practitioner - Nurse Practitioner | 6507203056 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11014459 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yesenia Medina DO PA | Single Specialty | Past | Accepting new patients |
| Mangrove Health Centers Inc | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1447923792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11373 SW 211TH ST STE 16",
"city": "MIAMI",
"state": "FL",
"postal_code": "331892247",
"telephone_number": "305-234-0009",
"fax_number": "305-234-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11373 SW 211TH ST STE 16",
"city": "MIAMI",
"state": "FL",
"postal_code": "331892247",
"telephone_number": "305-234-0009",
"fax_number": "305-234-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALES PEREZ",
"first_name": "RAFAEL",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-30",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11014459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114078600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.