Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Juan Carlos Salacup Rodriguez, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1760090419

Mr. Juan Carlos Salacup Rodriguez, APRN, FNP-C is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2020, 6 years ago. Practices with Infectious Disease Specialists LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
6
Licensed in
NV
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

6480 W Russell Rd
Las Vegas, NV 89118-1919
Phone: (702) 396-4165
Fax: (702) 252-4405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence TEMP832426 (NV)

Record details

NPI number1760090419
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , FNP-C
Sole proprietorYes
NPI enumeratedJuly 20, 2020
Last updated in NPPESSeptember 11, 2025
Certification dateDecember 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Infectious Disease Specialists Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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