Individual provider Active NPI

Jose Alberto Munetones V, APRN

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1043093289
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028045 Issued in FL
Practice address
3267 Davie Blvd
Fort Lauderdale, FL 33312-2755
Phone
(954) 652-1682
NPI assigned
Aug 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11028045 FL Primary

Addresses

Primary practice location

3267 Davie Blvd
Fort Lauderdale, FL 33312-2755

Mailing address

22169 Boca Rancho Dr Apt C
Boca Raton, FL 33428-4331
Phone (561) 929-7380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11028045FLMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1043093289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22169 BOCA RANCHO DR APT C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284331",
            "telephone_number": "561-929-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122755",
            "telephone_number": "954-652-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNETONES V",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.