Gerardo Manuel Pertuz Rodriguez, RN/BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9641344 Issued in FL

Practice address

528 Conner Creek Dr
Fishers, IN 46038-1813

Phone

(317) 993-6475

NPI assigned

Oct 2, 2023

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Male

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1487434122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 CONNER CREEK DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381813",
            "telephone_number": "317-993-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 CONNER CREEK DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381813",
            "telephone_number": "317-993-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTUZ RODRIGUEZ",
        "first_name": "GERARDO",
        "middle_name": "MANUEL",
        "credential": "RN/BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9641344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Fishers, IN
• Providers in Fishers, IN by specialty
• Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.