Individual provider Active NPI

Orlando Luis Zamora Plasencia, SA-C

  • Surgical Assistant
  • Hialeah, FL
National Provider Identifier
1053887000
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
15-127 Issued in FL
Practice address
6710 W 24TH CT Apt 104
Hialeah, FL 33016-7806
Phone
(786) 720-3476
NPI assigned
Oct 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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 15-127 FL Primary

Addresses

Primary practice location

6710 W 24TH CT Apt 104
Hialeah, FL 33016-7806

Mailing address

6710 W 24TH CT Apt 104
Hialeah, FL 33016-7806
Phone (786) 720-3476

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

LicenseStateTypeSpecialty
15-127FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1053887000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 W 24TH CT APT 104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330167806",
            "telephone_number": "786-720-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 W 24TH CT APT 104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330167806",
            "telephone_number": "786-720-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA PLASENCIA",
        "first_name": "ORLANDO",
        "middle_name": "LUIS",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "15-127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.