IndividualActive
Jose Grullon
NPI 1659960334 · Maternal Newborn Registered Nurse · Lutz, FL
Provider details
- NPI number
- 1659960334
- Entity type
- Individual
- Primary specialty
- Maternal Newborn Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN9455977 (FL)
Specialties & taxonomies
Nursing Service Providers
Practice location
18033 Promenade Park Ln Apt 404
Lutz, FL 33548-7982
Phone: (787) 422-9496
Approximate (ZIP-level) locationGet directions
Mailing address
18033 Promenade Park Ln Apt 404
Lutz, FL 33548-7982
Registry dates
- Enumerated
- 2021-01-15
- Last updated
- 2021-01-15
- Certified
- 2021-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.