Active NPI
Guillermo G Rualo
- Registered Nurse
- Baltimore, MD
National Provider Identifier
1962838177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R058678
- Practice address
- 4134 E Joppa Rd
Suite 202
Baltimore, MD 21236-2284 - Phone
- (410) 248-9800
- NPI assigned
- Sep 19, 2013
- Last updated
- Sep 19, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R058678 | MD | Primary |
Addresses
Primary practice location
4134 E Joppa Rd
Suite 202
Baltimore, MD 21236-2284
Mailing address
4134 E Joppa Rd
Suite 202
Baltimore, MD 21236-2284
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R058678 | MD | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Home Care LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Baltimore, MD
- NPI 1053455162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1962838177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4134 E JOPPA RD",
"address_2": "SUITE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212362284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4134 E JOPPA RD",
"address_2": "SUITE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212362284",
"telephone_number": "410-248-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUALO",
"first_name": "GUILLERMO",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-19",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R058678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Ahuva Rozwaski
- Grace F Rozycki, MD
- RPVS, LLC (Roland Park Vision Services)
- RRRS Each One Teach One Healthcare Services LLC (RRRS Each One Teach One Healthcare Services)
- RTD Medical Center, Inc.
- Sarah Rualo, OTR/L
- Kenyatta Indira Ruan-Bryan, LCSW-C
- Patrick William Ruane, DO
- Ruben Reider MD PA
- Joshua Marc Fiss Rubenfeld, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.