Individual provider Active NPI

Rosa Luisa Castro Caceres, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1548812753
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003121 Issued in FL
Practice address
7200 NW 7TH St Ste 150
Miami, FL 33126-2941
Phone
(786) 613-8934
NPI assigned
Jul 9, 2019
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11003121 FL Primary

Addresses

Primary practice location

7200 NW 7TH St Ste 150
Miami, FL 33126-2941

Mailing address

3605 SW 113TH PL
Miami, FL 33165-3417
Phone (786) 613-8934

Other identifiers 1

IdentifierTypeStateIssuer
APRN11003121OtherFLDOH LICENSE

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
I20191209000430 FL Practitioner - Nurse Practitioner 0648603571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

7200 NW 7TH St
Suite 150
Miami, FL 33126-2941
Phone (305) 266-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11003121FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med Care Centers LLC Current Accepting new patients
Medcare Centers, LLC CurrentSince May 9, 2024 Accepting new patients
Centrum Medical Holdings, LLC CurrentSince Dec 7, 2020 Accepting new patients
Medcare Centers, LLC CurrentSince May 9, 2024 Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Dec 7, 2020 Accepting new patients

Locations

10980 SW 184th St
Cutler Bay, FL 33157
Phone (305) 266-2928

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

4218 E 4th Ave
Hialeah, FL 33013
Phone (305) 828-1971

900 W 49th St
Ste 101
Hialeah, FL 33012

900 W 49th St
Ste 206
Hialeah, FL 33012
Phone (305) 571-6292

900 W 49th St
Ste 308
Hialeah, FL 33012
Phone (305) 558-6622

28610 SW 157th Ave
Homestead, FL 33033
Phone (786) 873-1805

11825 SW 26th St
Miami, FL 33175
Phone (786) 447-4582

434 SW 12th Ave
Miami, FL 33130
Phone (305) 642-2711

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

7200 NW 7th St
Ste 202
Miami, FL 33126
Phone (305) 262-5833

4767 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 351-9337

5730 SW 74th St
Ste 200
South Miami, FL 33143

Organizations & group practices 5

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1548812753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653417",
            "telephone_number": "786-613-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 NW 7TH ST STE 150",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262941",
            "telephone_number": "786-613-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO CACERES",
        "first_name": "ROSA",
        "middle_name": "LUISA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH LICENSE",
            "identifier": "APRN11003121",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.