Healthcare Provider Details

I. General information

NPI: 1750286803
Provider Name (Legal Business Name): ROSELIN NUNEZ ORTEGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7355 NW 173RD DR APT 101
HIALEAH FL
33015-8423
US

IV. Provider business mailing address

237 NW 59TH CT
MIAMI FL
33126-4749
US

V. Phone/Fax

Practice location:
  • Phone: 786-486-5184
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License NumberA1704
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI8910
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: