Individual provider Active NPI

Marissa De la Rosa, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1669267563
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11038730 Issued in FL
Practice address
815 NW 57TH Ave
Miami, FL 33126-2018
Phone
(305) 646-9644
NPI assigned
Apr 11, 2025
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 11038730 FL Primary

Addresses

Primary practice location

815 NW 57TH Ave
Miami, FL 33126-2018

Mailing address

901 S Park Rd Apt 304
Hollywood, FL 33021-8753
Phone (786) 266-0006

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
I20251216001691 FL Practitioner - Nurse Practitioner 4789178062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medical Services-Urology Division LLCGroup PAC ID 6901343748, 12 clinicians

Practice addresses (Care Compare)

8260 W Flager St
Suite 2I
Miami, FL 33144-2069
Phone (786) 715-9183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11038730FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services - Urology Division LLC CurrentSince Oct 19, 2025 Accepting new patients

Locations

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

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": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1669267563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S PARK RD APT 304",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218753",
            "telephone_number": "786-266-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262018",
            "telephone_number": "305-646-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "MARISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11038730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.