Active NPI
Margarita De la Rosa, CBHCM
- General Practice Physician
- Tampa, FL
National Provider Identifier
1770148819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME136186
- Practice address
- 2706 W Saint Isabel St
Tampa, FL 33607-6382 - Phone
- (813) 769-9571
- Fax
- (813) 492-8843
- NPI assigned
- May 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME136186 | FL | |
| General Practice Physician | 208D00000X | ME136186 | FL | Primary |
Addresses
Primary practice location
2706 W Saint Isabel St
Tampa, FL 33607-6382
Mailing address
2706 W Saint Isabel St
Tampa, FL 33607-6382
Phone (813) 769-9571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME136186 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well-Being Community Center, Corp. | Internal Medicine | Current | Accepting new patients |
Locations
3414 W 84th St
Ste 100
Hialeah Gardens, FL 33018
Phone (786) 313-3558
2706 W Saint Isabel St
Tampa, FL 33607
Phone (813) 769-9571
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.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1114430949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1770148819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 W SAINT ISABEL ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076382",
"telephone_number": "813-769-9571",
"fax_number": "813-492-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 W SAINT ISABEL ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076382",
"telephone_number": "813-769-9571",
"fax_number": "813-492-8843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA ROSA",
"first_name": "MARGARITA",
"credential": "CBHCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-03",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME136186",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME136186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.