Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miguel A De la Rua Jorge, GERONTOLOGYAPRN

Individual provider Gerontology Nurse Practitioner · NPI 1437700093

Miguel A De la Rua Jorge, GERONTOLOGYAPRN is a Gerontology Nurse Practitioner in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

6565 Taft St Ste 100
Hollywood, FL 33024-4000
Phone: (954) 331-4966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN11004260 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN9483054 (FL)

Record details

NPI number1437700093
Entity typeIndividual (Type 1)
GenderMale
Credentials GERONTOLOGYAPRN
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

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