Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jose Grullon

Individual provider Maternal Newborn Registered Nurse · NPI 1659960334

Jose Grullon is a Maternal Newborn Registered Nurse in Lutz, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

18033 Promenade Park Ln Apt 404
Lutz, FL 33548-7982
Phone: (787) 422-9496
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Maternal Newborn Registered Nurse (primary) Taxonomy 163WM0102X · Licence RN9455977 (FL)

Record details

NPI number1659960334
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 15, 2021
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021
Mailing address18033 Promenade Park Ln Apt 404, Lutz, FL 33548-7982

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