Active NPI
Ephraim Reyes Punzalan, RN
- Registered Nurse
- Sunrise, FL
National Provider Identifier
1538437298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9334631
- Practice address
- 1580 Sawgrass Corporate Pkwy
Suite 100
Sunrise, FL 33323-2859 - Phone
- (714) 326-8137
- NPI assigned
- Dec 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9334631 | FL | Primary |
Addresses
Primary practice location
1580 Sawgrass Corporate Pkwy
Suite 100
Sunrise, FL 33323-2859
Mailing address
1580 Sawgrass Corporate Pkwy
Suite 100
Sunrise, FL 33323-2859
Phone (714) 326-8137
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9334631 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1538437298",
"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": "714-326-8137"
},
{
"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": "714-326-8137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNZALAN",
"first_name": "EPHRAIM",
"middle_name": "REYES",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-09",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9334631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.