Ebonie Puertos, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9501623 Issued in FL

Practice address

4100 E Fletcher Ave
Tampa, FL 33613-4864

Phone

(813) 977-4950

NPI assigned

Jan 13, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1154910149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 SOUTHBREEZE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134864",
            "telephone_number": "813-977-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUERTOS",
        "first_name": "EBONIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9501623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Puentes, M.D.
• Yeniliz Puentes
• Mirbian Puerta
• Stephanie Puertas
• Melissa De la Caridad Puerto Bermudez
• Nadine Puga Martinez
• Bridget Jude Pugh, APRN
• Celeste Pugliese, CRNA
• Michelle Dawn Pugsley, RD, LD/N, CNSC
• Jennifer Puig-Quinones

• Registered Nurse in Tampa, FL
• Providers in Tampa, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.