Provider Demographics
NPI:1720885296
Name:DE DIOS, JADE LUMAUAG
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:LUMAUAG
Last Name:DE DIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3191 SANTA CATALINA PL
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7403
Mailing Address - Country:US
Mailing Address - Phone:561-818-1616
Mailing Address - Fax:
Practice Address - Street 1:3191 SANTA CATALINA PL
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-7403
Practice Address - Country:US
Practice Address - Phone:561-818-1616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9334535163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse