Individual provider · Type 1 NPI
Ricardo San Jose
Family Nurse Practitioner · Orlando, FL
NPI number
1235660861
Active
Practice location
3800 Yamala Ct
Orlando, FL 32826-5347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 9367463 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN9367463 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1235660861
Ricardo San Jose's National Provider Identifier is 1235660861, issued on Mar 24, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orlando, FL. The record was last updated on Jun 3, 2020.