Jose Rullan Garduque Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009595 Issued in CT

Practice address

1580 Sawgrass Corporate Pkwy
Suite 100
Sunrise, FL 33323-2859

Phone

(954) 739-4247

Fax

(954) 332-0671

NPI assigned

Dec 18, 2013

Last updated

Dec 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab by Rvna LLCGroup PAC ID 2466747019, 25 clinicians

Rvnahealth, IncGroup PAC ID 7416990569, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehab by Rvna, LLC

  • Rehabilitation Clinic/Center
  • Ridgefield, CT
  • NPI 1285082099
  Medicare reassignment Care Compare group NPD
• Rvnahealth, Inc.

  dba Ridgefield Visiting Nurse Association

  • Home Health Agency
  • Ridgefield, CT
  • NPI 1497758874
  Medicare reassignment Care Compare group NPD
• Rvnahealth, Inc.

  • Community Based Hospice Care Agency
  • Ridgefield, CT
  • NPI 1619491107
  NPD
• Medpro Healthcare Staffing

  • Rehabilitation Hospital
  • Sunrise, FL
  • NPI 1922342021
  NPD (past)

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1174944128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232859",
            "telephone_number": "954-739-4247",
            "fax_number": "954-332-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232859",
            "telephone_number": "954-739-4247",
            "fax_number": "954-332-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDUQUE",
        "first_name": "JOSE",
        "middle_name": "RULLAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009595",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nydia Maria Garcia
• Paul Anthony Garcia, D.D.S.
• Ramon Garcia, MD
• Jose B Gardens, PA, CHE.ABQAURP.
• Ivorine M Gardner, L.P.N
• Mary Jane Carlyn Diesta Gargoles, PT
• Danielle Lauren Garner, LCSW
• Hilda Rosa Garner, P.A.
• Jayson L. Garrels, CRNA
• Yanet Garrido Coutin, FNP

• Physical Therapist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.