Individual provider Active NPI

Tayslen Roman Cobos

  • Acute Care Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1528856309
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11038966 Issued in FL
Practice address
32005 SW 200TH CT
Homestead, FL 33030-6339
Phone
(305) 619-0579
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11038966 FL Primary

Addresses

Primary practice location

32005 SW 200TH CT
Homestead, FL 33030-6339

Mailing address

32005 SW 200TH CT
Homestead, FL 33030-6339
Phone (305) 619-0579

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
I20260603004618 FL Practitioner - Nurse Practitioner 5890266530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastromed LLCGroup PAC ID 2365574621, 38 clinicians

Practice addresses (Care Compare)

2801 NW 79TH Ave
Doral, FL 33122-1174
Phone (305) 359-5037

5101 SW 8 St
Miami, FL 33134-2442
Phone (305) 461-1881

5101 SW 8TH St
Suite 200
Coral Gables, FL 33134-2442

9333 SW 152ND St
Palmetto Bay, FL 33157-1778
Phone (305) 251-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11038966FLMDAcute Care Nurse Practitioner

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1528856309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32005 SW 200TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306339",
            "telephone_number": "305-619-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32005 SW 200TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306339",
            "telephone_number": "305-619-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN COBOS",
        "first_name": "TAYSLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11038966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.