Individual provider Active NPI

Mirla Y Rosario, AU.D.

  • Audiologist
  • Melbourne, FL
National Provider Identifier
1841368875
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
591 Issued in PR
Practice address
3134 Lake Washington Rd
Melbourne, FL 32934-7616
Phone
(321) 254-9919
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 591 PR Primary

Addresses

Primary practice location

3134 Lake Washington Rd
Melbourne, FL 32934-7616

Mailing address

PO Box 192075
San Juan, PR 00919-2075
Phone (787) 761-0036

Other practice location 1

1184 W Osceola Pkwy
Kissimmee, FL 34741-7515
Phone (407) 452-5153

Other practice location 2

A3 Ave Los Veteranos
Guayama, PR 00784-6310
Phone (787) 864-3688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181127002792 FL Practitioner - Qualified Audiologist 6406092022 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Sep 18, 2018 Accepting new patients
Precision Hearing Center Inc Audiologist Past Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

1184 W Osceola Pkwy
Kissimmee, FL 34741
Phone (407) 452-5153

3134 Lake Washington Rd
Melbourne, FL 32934
Phone (321) 254-3347

1900 Tamiami Trl
Unit 109
Port Charlotte, FL 33948
Phone (941) 743-5211

10455 Riverside Dr
West Palm Beach, FL 33410
Phone (800) 323-3277

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1841368875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192075",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192075",
            "telephone_number": "787-761-0036",
            "fax_number": "787-292-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3134 LAKE WASHINGTON RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347616",
            "telephone_number": "321-254-9919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1184 W Osceola Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417515",
            "country_code": "US",
            "telephone_number": "407-452-5153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "A3 Ave Los Veteranos",
            "address_purpose": "LOCATION",
            "city": "Guayama",
            "state": "PR",
            "postal_code": "007846310",
            "country_code": "US",
            "telephone_number": "787-864-3688",
            "fax_number": "787-864-3688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "MIRLA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.