Active NPI
Gustavo Rene Sotillo Ochoa, RNFA
- Registered Nurse First Assistant
- Weston, FL
National Provider Identifier
1043086226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN9646418
- Practice address
- 4115 Sabal Ridge Cir
Weston, FL 33331-5037 - Phone
- (346) 318-5912
- NPI assigned
- Nov 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 13-409 | FL | |
| Registered Nurse First Assistant | 163WR0006X | RN9646418 | FL | Primary |
Addresses
Primary practice location
4115 Sabal Ridge Cir
Weston, FL 33331-5037
Mailing address
4115 Sabal Ridge Cir
Weston, FL 33331-5037
Phone (346) 318-5912
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9646418 | FL | MD | Registered Nurse First Assistant |
| 13-409 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1043086226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 SABAL RIDGE CIR",
"city": "WESTON",
"state": "FL",
"postal_code": "333315037",
"telephone_number": "346-318-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 SABAL RIDGE CIR",
"city": "WESTON",
"state": "FL",
"postal_code": "333315037",
"telephone_number": "346-318-5912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTILLO OCHOA",
"first_name": "GUSTAVO",
"middle_name": "RENE",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "13-409",
"primary": false
},
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "FL",
"license": "RN9646418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
- Alberto Sorell Perdomo
- Alexandra M Soriano Caminero, M.D.
- Sandra Sorrentino, LMHC
- Rafael Sosa
- Tatiana Sosa
- South Broward Hospital District (Memorial Primary Care Weston)
- South Florida Psych and Concierge Services
- South Florida Urgent Care Centers, LLC
- South Florida Wellness Group, PLLC (GameDay Men's Health Weston)
- South Miami Hospital, Inc (Baptist Health Urgent Care at Weston)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.