Individual provider Active NPI

Rosangelly Colon-Torres, NP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1568097129
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11006437 Issued in FL
Practice address
1100 Cesery Blvd
Jacksonville, FL 32211-5674
Phone
(904) 551-5884
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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 11006437 FL Primary

Addresses

Primary practice location

1100 Cesery Blvd
Jacksonville, FL 32211-5674

Mailing address

1100 Cesery Blvd
Jacksonville, FL 32211-5674
Phone (904) 551-5884

Other practice location 1

1188 Bedrock Dr
Orange Park, FL 32065-5234
Phone (678) 387-8595 ext. 67838

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
I20201105002422 FL Practitioner - Nurse Practitioner 6002226883 Reassigns benefits to 5 organizations

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
Solantic of Jacksonville LLCGroup PAC ID 1052409307, 56 clinicians
Jax'S Family Care and Research Center, P.a.Group PAC ID 5890731434, 3 clinicians

Practice addresses (Care Compare)

1021 Cesery Blvd
Jacksonville, FL 32211-5609
Phone (615) 600-4074

2140 Kingsley Ave
Orange Park, FL 32073-5180
Phone (615) 600-4074

2401 Monument Rd
Jacksonville, FL 32225-2520
Phone (904) 642-0337

5233 Ricker Rd
Suite 101
Jacksonville, FL 32210-1439
Phone (904) 800-2332

9680 Argyle Forest Blvd
Suite 34
Jacksonville, FL 32222-2847
Phone (904) 569-7771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006437FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Aug 15, 2022 Accepting new patients
Jax'S Family Care and Research Center, P.a. CurrentSince Apr 10, 2023 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Sep 22, 2020 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Aug 15, 2022 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Dec 20, 2021 Accepting new patients

Locations

4203 Belfort Rd
Ste 108
Jacksonville, FL 32216
Phone (904) 450-6460

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

7200 Normandy Blvd
Ste 20
Jacksonville, FL 32205
Phone (904) 378-8520

5233 Ricker Rd
Ste 101
Jacksonville, FL 32210
Phone (904) 425-6963

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

1786 Blanding Blvd
Ste 3
Middleburg, FL 32068
Phone (904) 282-8000

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1568097129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115674",
            "telephone_number": "904-551-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CESERY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115674",
            "telephone_number": "904-551-5884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1188 Bedrock Dr",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320655234",
            "country_code": "US",
            "telephone_number": "678-387-8595 x67838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON-TORRES",
        "first_name": "ROSANGELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11006437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.