Active NPI
Nicolas Grisales
- Certified Registered Nurse Anesthetist
- Arecibo, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11027970
- Practice address
- 55 Calle Palma
Arecibo, PR 00612-4526 - Phone
- (787) 650-1030
- NPI assigned
- Jun 14, 2023
- Last updated
- Feb 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 110085 | PR | |
| Certified Registered Nurse Anesthetist | 367500000X | 11027970 | FL | Primary |
Addresses
Primary practice location
55 Calle Palma
Arecibo, PR 00612-4526
Mailing address
HC 83 Box 6615
Vega Alta, PR 00692-9778
Phone (603) 289-6980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11027970 | FL | MD | Certified Registered Nurse Anesthetist |
| 110085 | PR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Coral Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Coral Anesthesia Associates Inc | Current | Accepting new patients |
Locations
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
2140 W 68th St
Hialeah, FL 33016
Phone (305) 332-2065
1879 Veterans Park Dr
Ste 1101
Naples, FL 34109
Phone (239) 248-7623
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
2621 Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 444-5510
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1417221771
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1861166076
-
- Anesthesiology Physician
- Naples, FL
- NPI 1255701306
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Safety Harbor, FL
- NPI 1528630795
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1104498583
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Lake Monroe Hospital
- General Acute Care Hospital
- Sanford, FL
- NPI 1285681908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739664000000",
"number": "1679257927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 83 BOX 6615",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006929778",
"telephone_number": "603-289-6980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CALLE PALMA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124526",
"telephone_number": "787-650-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISALES",
"first_name": "NICOLAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2025-02-16",
"certification_date": "2025-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PR",
"license": "110085",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11027970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.