Individual provider Active NPI

Monica Daza, SA-C

  • Surgical Assistant
  • Royal Palm Beach, FL
National Provider Identifier
1033588603
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
12025 W Greenway Dr
Apt #104
Royal Palm Beach, FL 33411-2849
Phone
(561) 503-9408
NPI assigned
Sep 24, 2015
Last updated
Sep 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X NU Primary

Addresses

Primary practice location

12025 W Greenway Dr
Apt #104
Royal Palm Beach, FL 33411-2849

Mailing address

12025 W Greenway Dr
Apt #104
Royal Palm Beach, FL 33411-2849
Phone (561) 503-9408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1033588603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 W GREENWAY DR",
            "address_2": "APT #104",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334112849",
            "telephone_number": "561-503-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 W GREENWAY DR",
            "address_2": "APT #104",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334112849",
            "telephone_number": "561-503-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAZA",
        "first_name": "MONICA",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.