JORGE LUIS PEREZ CLAVIJO NPI 1215402813

NPI Information

  • NPI: 1215402813
  • Provider Name: JORGE LUIS PEREZ CLAVIJO
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • Address: 1905 NW 82ND AVE
    DORAL, FL
    ZIP 33126
  • Phone: (786) 420-5924

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NPI Details

Jorge Luis Perez Clavijo is a nurse practitioner in Doral, FL. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Jorge Luis Perez Clavijo NPI is 1215402813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1905 NW 82ND AVE
DORAL, FL
ZIP 33126-011
Phone: (786) 420-5924

The enumeration date for this NPI number is 10/10/2018 and was last updated on 10/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerRN9485164FLORIDAYes
2171M00000XCase Manager/Care CoordinatorCBHCM101723FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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