Individual provider Active NPI

Angelica Marina Rosario, ARNP

  • Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1558744318
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9304105 Issued in FL
Practice address
7000 SW 62ND Ave Ste 600
South Miami, FL 33143-4728
Phone
(305) 917-0777
NPI assigned
Jun 29, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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 9304105 FL Primary

Addresses

Primary practice location

7000 SW 62ND Ave Ste 600
South Miami, FL 33143-4728

Mailing address

14533 NW 87TH PL
Miami Lakes, FL 33018-8041
Phone (305) 409-4765

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
I20151116001600 FL Practitioner - Nurse Practitioner 1759691157 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9304105FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services - Anesthesiology Division LLC CurrentSince Feb 7, 2025 Accepting new patients

Locations

11420 N Kendall Dr
Ste 206
Miami, FL 33176
Phone (786) 715-9183

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1558744318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14533 NW 87TH PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330188041",
            "telephone_number": "305-409-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE 600",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434728",
            "telephone_number": "305-917-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "ANGELICA",
        "middle_name": "MARINA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9304105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.