Organization Active NPI

Jose Luis Fernandez Rojas Aprn LLC

  • General Practice Physician
  • Miami Gardens, FL
National Provider Identifier
1922858992
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JOSE LUIS FERNANDEZ ROJAS APRN LLC
Practice address
17820 NW 55TH CT
Miami Gardens, FL 33055-3118
Phone
(786) 479-8481
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Jose Luis Fernandez Rojas, APRNNPI 1447884739
Title
Owner/ Practitioner
Phone
(786) 479-8481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

17820 NW 55TH CT
Miami Gardens, FL 33055-3118

Mailing address

17820 NW 55TH CT
Miami Gardens, FL 33055-3118
Phone (305) 450-3206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603004468 FL Part B Supplier - Clinic/Group Practice 4082123757 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Gardens, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1922858992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17820 NW 55TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553118",
            "telephone_number": "305-450-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 NW 55TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553118",
            "telephone_number": "786-479-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE LUIS FERNANDEZ ROJAS APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ ROJAS",
        "authorized_official_first_name": "JOSE LUIS",
        "authorized_official_title_or_position": "OWNER/ PRACTITIONER",
        "authorized_official_telephone_number": "786-479-8481",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.