Aniel La Rosa

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11022202 Issued in FL

Practice address

19721 NW 77TH CT
Hialeah, FL 33015-6403

Phone

(786) 899-6309

NPI assigned

Oct 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Aniel La Rosa Abascal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1982321089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19721 NW 77TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156403",
            "telephone_number": "786-899-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19721 NW 77TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156403",
            "telephone_number": "786-899-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA ROSA",
        "first_name": "ANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9497132",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11022202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANIEL",
            "last_name": "LA ROSA ABASCAL",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Joany Labanino Lobaina
• Leonard Labarta

• Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.