Individual provider Active NPI

Victor Manuel De la Rosa Salazar, P.A.

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1164211819
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3156 Issued in PR
Practice address
2144 McIntosh Rd
Sarasota, FL 34232-3924
Phone
(941) 879-2590
NPI assigned
Apr 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 25-245 FL
Physician Assistant 363A00000X 3156 PR Primary
Surgical Physician Assistant 363AS0400X 3156 PR

Addresses

Primary practice location

2144 McIntosh Rd
Sarasota, FL 34232-3924

Mailing address

2144 McIntosh Rd
Sarasota, FL 34232-3924
Phone (941) 879-2590

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3156PRMDOrthodontics and Dentofacial Orthopedic Dentist
25-245FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1164211819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 MCINTOSH RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342323924",
            "telephone_number": "941-879-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 MCINTOSH RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342323924",
            "telephone_number": "941-879-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA SALAZAR",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "25-245",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "3156",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PR",
            "license": "3156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; 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.