Rosa Antonella Altamirano, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106552 Issued in FL

Practice address

12309 Pembroke Rd
Pembroke Pines, FL 33025-1723

Phone

(954) 432-6595

Fax

(954) 432-6266

NPI assigned

May 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Matthew Taub MD PA

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1992007496
  Medicare reassignment

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1598023137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251723",
            "telephone_number": "954-432-6595",
            "fax_number": "954-432-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251723",
            "telephone_number": "954-432-6595",
            "fax_number": "954-432-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMIRANO",
        "first_name": "ROSA",
        "middle_name": "ANTONELLA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian David Alperstein, DPT
• Alpha Touch Pharmacy ,Inc
• Alpha Tough Pharmacy Inc.
• Anastasia Andrea Alpizar, DO
• Dominique Alsafeer, ARNP
• Pamela Ezinwanne Altema
• Yaidel Luis Alvare, DPM
• Anet Alvarez Illas
• Jeisy Alvarez Marin
• Gabriela Alvarez Pazos

• Physician Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.

Verify at the official NPI Registry.