Justo Nual Perez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9490639 Issued in FL

Practice address

16 Lake Jackson Dr
Mascotte, FL 34753-8806

Phone

(321) 333-6996

NPI assigned

Jul 22, 2018

Last updated

Jul 22, 2018By 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

Registered Nurse

State licenses

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532217600000",
    "number": "1871070920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAKE JACKSON DR",
            "city": "MASCOTTE",
            "state": "FL",
            "postal_code": "347538806",
            "telephone_number": "321-333-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LAKE JACKSON DR",
            "city": "MASCOTTE",
            "state": "FL",
            "postal_code": "347538806",
            "telephone_number": "321-333-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUAL PEREZ",
        "first_name": "JUSTO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-22",
        "last_updated": "2018-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9490639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Mascotte, FL
• Providers in Mascotte, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; 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.