Provider Demographics
NPI:1013744820
Name:GIRON, JOSE D (NURSE PRACTITIONER)
Entity type:Individual
Prefix:PROF
First Name:JOSE
Middle Name:D
Last Name:GIRON
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18 CALLE TAGORE APT 1712
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4765
Mailing Address - Country:US
Mailing Address - Phone:470-529-7862
Mailing Address - Fax:
Practice Address - Street 1:18 CALLE TAGORE APT 1712
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4765
Practice Address - Country:US
Practice Address - Phone:470-529-7862
Practice Address - Fax:470-529-7862
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2025-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11042165363LF0000X
PR2757163WC0400X
PR85590163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163W00000XNursing Service ProvidersRegistered Nurse