Individual provider Active NPI

Marbelly Daniela Rosales, FNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1679170559
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77796 Issued in NM
Practice address
130 SW 109TH Ave Apt 10C
Miami, FL 33174-4430
Phone
(786) 417-1729
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 77796 NM Primary

Addresses

Primary practice location

130 SW 109TH Ave Apt 10C
Miami, FL 33174-4430

Mailing address

130 SW 109TH Ave Apt 10C
Miami, FL 33174-4430
Phone (786) 417-1729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240524000754 NM Practitioner - Nurse Practitioner 6406298280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Pinnacle Gastroenterology, LLC.Group PAC ID 7810358231, 4 clinicians

Practice addresses (Care Compare)

700 Cuba Ave
Alamogordo, NM 88310-5951
Phone (575) 554-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Gastroenterology LLC CurrentSince Apr 17, 2024 Accepting new patients

Locations

700 Cuba Ave
Alamogordo, NM 88310
Phone (505) 434-4957

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFGADD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1679170559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SW 109TH AVE APT 10C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744430",
            "telephone_number": "786-417-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SW 109TH AVE APT 10C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744430",
            "telephone_number": "786-417-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "MARBELLY",
        "middle_name": "DANIELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "77796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.