Healthcare Provider Details

I. General information

NPI: 1174433254
Provider Name (Legal Business Name): ROXANA ARMESTO ROS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

21127 SW 125TH COURT RD
MIAMI FL
33177-5759
US

IV. Provider business mailing address

21127 SW 125TH COURT RD 21127 SW 125TH COURT RD
MIAMI FL
33177-5759
US

V. Phone/Fax

Practice location:
  • Phone: 786-306-7158
  • Fax:
Mailing address:
  • Phone: 786-306-7158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11050801
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: