Active NPIIndividual providerSole proprietor

Raldic Jimenez Lluberes, CRNA

Nurse Anesthetist, Certified Registered in Port Charlotte, Florida

NPI Number1952091704
Practice location
21298 Olean Blvd, Port Charlotte, FL 33952-6705
Fax
—
Last updated
September 22, 2024

Raldic Jimenez Lluberes is a Nurse Anesthetist, Certified Registered based in Port Charlotte, FL. Raldic Jimenez Lluberes practices in Port Charlotte, FL and has the professional credentials of CRNA. The NPI Number for Raldic Jimenez Lluberes is 1952091704 and holds a License No. 3868 (PR). The current practice location address for Raldic Jimenez Lluberes is 21298 Olean Blvd, Port Charlotte, FL 33952-6705 and can be reached out via phone at 941-629-1181.

Provider Profile Details

NPI Number
1952091704
Provider Name
Raldic Jimenez Lluberes
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
21298 Olean Blvd, Port Charlotte, FL 33952-6705
Phone Number
941-629-1181
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
May 15, 2023
Last Update Date
September 22, 2024
Certification Date
September 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
21298 Olean Blvd
Port Charlotte, FL 33952-6705
State
Florida
Zip
33952-6705
Phone Number
941-629-1181
Port Charlotte, FL 33952Get directions →

Provider Business Mailing Address Details

Address
24019 Madaca Ln Unit 107
Port Charlotte, FL 33954-2810
City
Port Charlotte
State
FL
Zip
33954-2810
Phone Number
939-287-8845

License Information

License Number (1)
3868
License State (1)
PR
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
11012731
License State (2)
FL
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Raldic Jimenez Lluberes, CRNA?

The NPI number of Raldic Jimenez Lluberes, CRNA is 1952091704. It was assigned on May 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Raldic Jimenez Lluberes, CRNA?

Raldic Jimenez Lluberes, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in PR under license number 3868.

Where does Raldic Jimenez Lluberes, CRNA practice?

The practice location is 21298 Olean Blvd, Port Charlotte, FL 33952-6705. The office can be reached at 941-629-1181 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952091704 directly on the NPPES registry website.

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