Individual provider Active NPI

Edwin Montero Perez, BSN, RN

  • Registered Nurse
  • Clearwater, FL
National Provider Identifier
1407194111
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 9291366 Issued in FL
Practice address
1006 Ewing Ave
Clearwater, FL 33756-4010
Phone
(727) 286-6943
NPI assigned
Jan 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 9291366 FL Primary

Addresses

Primary practice location

1006 Ewing Ave
Clearwater, FL 33756-4010

Mailing address

1006 Ewing Ave
Clearwater, FL 33756-4010
Phone (727) 286-6943

Other names 1

  • Mr. Edwin Montero Other name

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 9291366FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1407194111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 EWING AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564010",
            "telephone_number": "727-286-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 EWING AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564010",
            "telephone_number": "727-286-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERO PEREZ",
        "first_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9291366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWIN",
            "last_name": "MONTERO",
            "prefix": "MR.",
            "credential": "BSN, RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.