Provider Demographics
NPI:1497182018
Name:ROSERO LANDAY, ADRIANA DEL ROCIO (ARNP,FNP-C, RN,OPA-C)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:DEL ROCIO
Last Name:ROSERO LANDAY
Suffix:
Gender:F
Credentials:ARNP,FNP-C, RN,OPA-C
Other - Prefix:
Other - First Name:ADRIANA DEL ROCIO
Other - Middle Name:
Other - Last Name:ROSERO BENAVIDES/LANDAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP,FNP-C, RN,OPA-C
Mailing Address - Street 1:4150 COCONUT BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8934
Mailing Address - Country:US
Mailing Address - Phone:561-814-3034
Mailing Address - Fax:
Practice Address - Street 1:4150 COCONUT BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8934
Practice Address - Country:US
Practice Address - Phone:561-814-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9520253208D00000X
FLRN9520253163W00000X
FL1445208D00000X
246ZS0410X
FL246ZX2200X
FLAPRN11016767363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
No246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant