Individual provider Active NPI

Rodsana Gascon Diaz

  • Family Nurse Practitioner
  • Palmetto Bay, FL
National Provider Identifier
1790543734
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03240253 Issued in FL
Practice address
18142 SW 97TH Ave
Palmetto Bay, FL 33157-5501
Phone
(786) 454-3880
Fax
(786) 454-3881
NPI assigned
Mar 12, 2024
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 F03240253 FL Primary

Addresses

Primary practice location

18142 SW 97TH Ave
Palmetto Bay, FL 33157-5501

Mailing address

810 SW 129TH PL Apt 108
Miami, FL 33184-2110
Phone (786) 803-2593

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
I20260429003353 FL Practitioner - Nurse Practitioner 5698200517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17902 SW 144TH Ave
Miami, FL 33177-2676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F03240253FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harley's Intra Beauty Wellness Solutions LLC Family Current Accepting new patients

Locations

18142 SW 97th Ave
Palmetto Bay, FL 33157
Phone (786) 454-3880

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1790543734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SW 129TH PL APT 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842110",
            "telephone_number": "786-803-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18142 SW 97TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575501",
            "telephone_number": "786-454-3880",
            "fax_number": "786-454-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASCON DIAZ",
        "first_name": "RODSANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F03240253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.