Provider Demographics
NPI:1063010395
Name:TAVERAS, ROCIO (MSN, ARNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ROCIO
Middle Name:
Last Name:TAVERAS
Suffix:
Gender:F
Credentials:MSN, ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 NW 79TH AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4046
Mailing Address - Country:US
Mailing Address - Phone:786-391-9709
Mailing Address - Fax:
Practice Address - Street 1:7110 NW 45TH ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2120
Practice Address - Country:US
Practice Address - Phone:786-391-9709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-09
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11034258363LP0808X
FLRN9491841163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical