Jose Grullon

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

RN9455977 Issued in FL

Practice address

18033 Promenade Park LN Apt 404
Lutz, FL 33548-7982

Phone

(787) 422-9496

NPI assigned

Jan 15, 2021

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

State licenses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1659960334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18033 PROMENADE PARK LN APT 404",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335487982",
            "telephone_number": "787-422-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18033 PROMENADE PARK LN APT 404",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335487982",
            "telephone_number": "787-422-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULLON",
        "first_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "FL",
            "license": "RN9455977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Griffin, PT, DPT
• Jada Griffin
• Tracy Griffin
• Sarah Grina, M.S. CCC-SLP
• Growth Mindset Counseling
• Andrea L Gualtieri, MIDWIFE
• Gabriel Guardado
• Andres E Guerra Andrade, DMD
• Lupe Guerra Jr.
• Gulf to Bay Cardio Surery

• Maternal Newborn Registered Nurse in Lutz, FL
• Providers in Lutz, FL by specialty
• Maternal Newborn Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.