Individual provider Active NPI

Jorge Rolando Remon, APRN

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1487264040
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007719 Issued in FL
Practice address
6230 Garfield St
Hollywood, FL 33024-5943
Phone
(305) 336-6167
NPI assigned
Aug 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11007719 FL Primary

Addresses

Primary practice location

6230 Garfield St
Hollywood, FL 33024-5943

Mailing address

6230 Garfield St
Hollywood, FL 33024-5943
Phone (305) 336-6167

Other identifiers 1

IdentifierTypeStateIssuer
F06201361OtherN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11007719FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuromuscular Physical Therapy, Inc CurrentSince Mar 20, 2022 Accepting new patients

Locations

7270 NW 12th St
Ste 320
Miami, FL 33126
Phone (786) 850-3304

7200 NW 7th St
Ste 320
Miami, FL 33126
Phone (305) 260-7737

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1487264040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 GARFIELD ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245943",
            "telephone_number": "305-336-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 GARFIELD ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245943",
            "telephone_number": "305-336-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMON",
        "first_name": "JORGE",
        "middle_name": "ROLANDO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "F06201361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.