Krypton Medical LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9337727 Issued in FL

Legal business name

KRYPTON MEDICAL LLC

Practice address

10771 SW 64TH St
Miami, FL 33173-2022

Phone

(305) 301-3693

Fax

(305) 553-5271

NPI assigned

Oct 5, 2015

Organization subpart

No

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

Authorized official

Name

David Jose Trabanco, ARNP, AGNP, NP-C

Title

Nurse Practitioner/Owner

Phone

(305) 301-3693

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640304000000",
    "number": "1407226277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10771 SW 64TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732022",
            "telephone_number": "305-301-3693",
            "fax_number": "305-553-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10771 SW 64TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732022",
            "telephone_number": "305-301-3693",
            "fax_number": "305-553-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYPTON MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A",
        "authorized_official_last_name": "TRABANCO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "305-301-3693",
        "authorized_official_credential": "ARNP, AGNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9337727",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9337727",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9337727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.