Active NPI
Jose Luis Ferreiros, PN
- Licensed Practical Nurse
- Hialeah, FL
National Provider Identifier
1104129824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN1359201
- Practice address
- 17441 NW 82ND CT
Hialeah, FL 33015-3608 - Phone
- (786) 355-7381
- NPI assigned
- Dec 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN1359201 | FL | Primary |
Addresses
Primary practice location
17441 NW 82ND CT
Hialeah, FL 33015-3608
Mailing address
17441 NW 82 CT
Hialeah, FL 33015
Phone (786) 355-7381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN1359201 | Other | FL | DEPARTMENT OF HEALTH |
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
- Credentials
- Advanced Practice Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN1359201 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1104129824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17441 NW 82 CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33015",
"telephone_number": "786-355-7381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17441 NW 82ND CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330153608",
"telephone_number": "786-355-7381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERREIROS",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"credential": "PN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-20",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN1359201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "PN1359201",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.