Organization Active NPI

Miguel de la Rosa MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1649453135
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME80623 Issued in FL
Legal business name
MIGUEL DE LA ROSA MD PA
Practice address
10679 SW 88TH St
Miami, FL 33176-1510
Phone
(305) 274-5505
Fax
(305) 274-5607
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Miguel Antonio De la Rosa II, M.D.
Title
Physician
Phone
(305) 274-5505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME80623 FL Primary

Addresses

Primary practice location

10679 SW 88TH St
Miami, FL 33176-1510

Mailing address

10679 SW 88TH St
Miami, FL 33176-1510
Phone (305) 274-5505

National Provider Directory

National Provider Directory

Locations

10679 SW 88th St
Miami, FL 33176
Phone (305) 274-5505

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1649453135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10679 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761510",
            "telephone_number": "305-274-5505",
            "fax_number": "305-274-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10679 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761510",
            "telephone_number": "305-274-5505",
            "fax_number": "305-274-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL DE LA ROSA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-274-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.