Individual provider Active NPI

Roselia Alonso

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1861162083
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11015243 Issued in FL
Practice address
10621 N Kendall Dr Ste 100
Miami, FL 33176-1549
Phone
(305) 722-0094
NPI assigned
Sep 18, 2021
Last updated
Jan 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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 APRN11015243 FL Primary

Addresses

Primary practice location

10621 N Kendall Dr Ste 100
Miami, FL 33176-1549

Mailing address

16272 SW 55TH Ter
Miami, FL 33185-5007
Phone (305) 790-6323

Other practice location 1

15495 Eagle Nest Ln Ste 100
Miami Lakes, FL 33014-2242
Phone (305) 556-0021

Other practice location 2

7761 NW 146th St
Miami Lakes, FL 33016-1559
Phone (305) 822-5896

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
I20230602000274 FL Practitioner - Nurse Practitioner 0547627721 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ambert Medical Care Center Corp CurrentSince Jan 13, 2023 Accepting new patients
Ambert Medical Care Center Past Accepting new patients

Locations

10621 N Kendall Dr
Ste 100
Miami, FL 33176
Phone (305) 595-1033

10621 SW 88th St
Ste 101
Miami, FL 33176
Phone (305) 229-3848

15495 Eagle Nest Ln
Ste 100
Miami Lakes, FL 33014
Phone (305) 512-6034

15495 Eagle Nest Ln
Ste 250
Miami Lakes, FL 33014

7761 NW 146th St
Miami Lakes, FL 33016
Phone (305) 822-1243

Organizations & group practices 2

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": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1861162083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16272 SW 55TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855007",
            "telephone_number": "305-790-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 N KENDALL DR STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761549",
            "telephone_number": "305-722-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15495 Eagle Nest Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142242",
            "country_code": "US",
            "telephone_number": "305-556-0021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7761 NW 146th St",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161559",
            "country_code": "US",
            "telephone_number": "305-822-5896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "ROSELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.