Active NPI
Rogelio Dejesus Muro, ARNP
- Adult Health Nurse Practitioner
- Altamonte Springs, FL
National Provider Identifier
1902158165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- A1012021
- Practice address
- 659 Douglas Ave
Altamonte Springs, FL 32714-2509 - Phone
- (407) 274-9777
- Fax
- (407) 637-5114
- NPI assigned
- Oct 11, 2012
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | A1012021 | FL | Primary |
Addresses
Primary practice location
659 Douglas Ave
Altamonte Springs, FL 32714-2509
Mailing address
121 S Orange Ave Ste 940
Orlando, FL 32801-3234
Phone (407) 658-9687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP9307937 | Other | FL | LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1012021 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Corners Chiropractic Centers PA | Past | Accepting new patients | |
| Orlando Family Physicians, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Clermont, FL
- NPI 1619963147
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1902158165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S ORANGE AVE STE 940",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328013234",
"telephone_number": "407-658-9687",
"fax_number": "407-658-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 DOUGLAS AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142509",
"telephone_number": "407-274-9777",
"fax_number": "407-637-5114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURO",
"first_name": "ROGELIO",
"middle_name": "DEJESUS",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-11",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "A1012021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ARNP9307937",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.