MEDICARE: A & J NURSES REGISTRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1750938106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & J NURSES REGISTRY LLC

Provider Business Mailing Address
First Line	:	5901 NW 151ST ST STE 204
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2454
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5901 NW 151ST ST STE 204
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2454
Country	:	US
Telephone Number	:	786-200-1935
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUAN C PEREZ
Credential	:
Telephone Number	:	786-200-1935

Provider Enumeration Date	:	08/21/2019
Last Update Date	:	02/22/2023

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