CRYSTAL DE LA ROSA RN
NPI 1104711142
Registered Nurse - Community Health in Daytona Beach, FL

Q: What is Crystal De La Rosa's NPI number?

The NPI number for Crystal De La Rosa is 1104711142. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Crystal De La Rosa's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

Active since June 10, 2025

1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117(386) 547-2039(386) 274-0518 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Crystal De La Rosa Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL DE LA ROSA RN (NPI 1104711142) is an individual community health provider in Daytona Beach, Florida, licensed in Florida (9578454) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1104711142

Entity TypeIndividualFemale

Primary Taxonomy163WC1500X

Provider Legal NameCRYSTAL DE LA ROSACredential: RN

Location Address1845 HOLSONBACK DRDaytona Beach, FL 32117-5282

Mailing Address104 Victoria Oaks BlvdDeland, FL 32724-7587 · (845) 642-8507

Phone(386) 547-2039

Fax(386) 274-0518

Sole ProprietorNo

Enumeration DateJune 10, 2025

NPPES CertifiedJune 10, 2025

✔ NPI 1104711142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers

Taxonomy Code163WC1500X

License✔ Licensed in FL · 9578454

1845 HOLSONBACK DR, Daytona Beach, FL 32117

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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