Jose Ruben Aldo Dawson, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11008832 Issued in FL

Practice address

656 SW Munjack CV
Port St Lucie, FL 34986-4530

Phone

(832) 348-3707

NPI assigned

Aug 25, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family First Physician Services LLC

  • Family Medicine Physician
  • Jensen Beach, FL
  • NPI 1518363951
  Medicare reassignment NPD
• New Horizons of the Treasure Coast Inc

  • Community/Behavioral Health Agency
  • Ft. Pierce, FL
  • NPI 1154439958
  Medicare reassignment NPD

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1043823644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 SW MUNJACK CV",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864530",
            "telephone_number": "832-348-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 SW MUNJACK CV",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864530",
            "telephone_number": "832-348-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "JOSE",
        "middle_name": "RUBEN ALDO",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11008832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Jane Davis, RBT
• Sherril Ann Davis
• Stephen P. Davis, PH.D.
• Patrick Edward Davison, D.O.
• Manjaree Daw, MD
• Kenyel Day
• Jennifer De Gennaro Bruzon
• Melanie De Guzman, ARNP
• Marielina De la Cruz Garlobo
• Jacqueline Stephanie De la Cruz, MD

• Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.