Healthcare Provider Details
I. General information
NPI: 1720998701
Provider Name (Legal Business Name): JR ADVANCED PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
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
6444 SW 166TH CT
MIAMI FL
33193-5622
US
IV. Provider business mailing address
6444 SW 166TH CT
MIAMI FL
33193-5622
US
V. Phone/Fax
- Phone: 786-616-3281
- Fax:
- Phone: 786-616-3281
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JANET
YADIRA
ROJAS
Title or Position: OWNER
Credential: RN, APRN
Phone: 786-616-3281