Individual provider Active NPI

Roxana Elaine Rosales Pino, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1629775986
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024412 Issued in FL
Practice address
4578 W 12TH Ave
Hialeah, FL 33012-3325
Phone
(305) 828-1989
Fax
(786) 791-1253
NPI assigned
Feb 7, 2023
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 APRN11024412 FL Primary

Addresses

Primary practice location

4578 W 12TH Ave
Hialeah, FL 33012-3325

Mailing address

4578 W 12TH Ave
Hialeah, FL 33012-3325
Phone (305) 828-1989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912003736 FL Practitioner - Nurse Practitioner 7719341502

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: roxana.rosalespino@wwmp.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1629775986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4578 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123325",
            "telephone_number": "305-828-1989",
            "fax_number": "786-791-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123325",
            "telephone_number": "305-828-1989",
            "fax_number": "786-791-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES PINO",
        "first_name": "ROXANA",
        "middle_name": "ELAINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.