Individual provider Active NPI

Gerardo Fco. Vega de la Rosa, APRN

  • Obstetrics & Gynecology Nurse Practitioner
  • Miami, FL
National Provider Identifier
1710686076
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APRN11024927 Issued in FL
Practice address
13051 SW 56TH Ter
Miami, FL 33183-1212
Phone
(305) 676-1041
NPI assigned
Feb 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11024927 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN11024927 FL Primary

Addresses

Primary practice location

13051 SW 56TH Ter
Miami, FL 33183-1212

Mailing address

13051 SW 56TH Ter
Miami, FL 33183-1212
Phone (305) 676-1041

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
I20260119000015 FL Practitioner - Nurse Practitioner 2668959925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10300 SW 72ND St
Suite 3080
Miami, FL 33173-3020

5068 Annunciation Cir
Unit 111
Ave Maria, FL 34142-9667

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11024927FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Health LLC CurrentSince Dec 13, 2025 Accepting new patients

Locations

5068 Annunciation Cir
Unit 111
Ave Maria, FL 34142
Phone (239) 304-0054

5673 SW 137th Ave
Miami, FL 33183
Phone (305) 385-3949

3485 W Flagler St
Ste 300
Miami, FL 33135
Phone (305) 418-0272

Interoperability endpoints

  • Direct secure messaging: gerardo.vega.de.la.rosa.1@15759.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1710686076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13051 SW 56TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831212",
            "telephone_number": "305-676-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13051 SW 56TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831212",
            "telephone_number": "305-676-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA DE LA ROSA",
        "first_name": "GERARDO",
        "middle_name": "FCO.",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024927",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN11024927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.