Jose Rafael Bueno Ventura

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN790353 Issued in PA

Practice address

201 State St
Erie, PA 16550-0001

Phone

(814) 877-2938

Fax

(814) 877-6070

NPI assigned

Oct 24, 2024

Last updated

Oct 24, 2024By 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

Other identifiers 2

Electronic endpoints 1

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": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1851112551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E BROAD ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161722",
            "telephone_number": "609-356-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500001",
            "telephone_number": "814-877-2938",
            "fax_number": "814-877-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO VENTURA",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN790353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ RN MULTI STATE LICENSE",
            "identifier": "26NR21099900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA RN LICENSE",
            "identifier": "RN790353",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "buenoven001@gannon.edu",
            "affiliation": "N",
            "endpointDescription": "Hospital Email",
            "address_1": "201 State St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165500001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Theresa Joy Buczek
• Robert Michael Budacki
• Liudmila Budeanu
• Tyler Daniel Budziszewski, PA-C
• Kathryne L Buege, D.O.
• Jeffrey A Buetikofer, MD
• Stacey Lee Buettner, LCSW
• Buffalo Road Dental LLC (Harborcreek Dental)
• Katelyn Buki, LCSW
• Joseph Richard Bukowski, DDS

• Registered Nurse in Erie, PA
• Providers in Erie, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.