Karl Engels Tavera Rosario, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

25-177 Issued in FL

Practice address

1258 Pine Ridge Cir W Apt C2
Tarpon Springs, FL 34688-6407

Phone

(347) 227-5767

NPI assigned

Mar 1, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1093512626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 PINE RIDGE CIR W APT C2",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346886407",
            "telephone_number": "347-227-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 PINE RIDGE CIR W APT C2",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346886407",
            "telephone_number": "347-227-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERA ROSARIO",
        "first_name": "KARL",
        "middle_name": "ENGELS",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "25-177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarpon Springs Hospital Foundation Inc (AdventHealth North Pinellas)
• Tarpon Springs Hospital Foundation Inc (AdventHealth Medical Group)
• Tarpon Springs Pathology Associates PA
• Tarpon Springs Pediatrics LLC
• Tarpon Total Health Care Inc.
• Susan E Teall
• The Arc Tampa Bay, Inc.
• The Home W/ Guiding Hands
• Thomas E. Carson, M.D., P.a.
• Thomas E. Carson,MD,PA (Carson Family Care Center)

• Surgical Assistant in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; 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.