Individual provider Active NPI

Nestor Rodriguez Otero, CSFA

  • Surgical Assistant
  • New Port Richey, FL
National Provider Identifier
1205510237
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
23-149 Issued in WI
Practice address
6901 Ian CT Apt 22
New Port Richey, FL 34653-2701
Phone
(813) 606-7017
NPI assigned
Jun 12, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 23-149 WI Primary

Addresses

Primary practice location

6901 Ian CT Apt 22
New Port Richey, FL 34653-2701

Mailing address

6901 Ian CT Apt 22
New Port Richey, FL 34653-2701
Phone (813) 606-7017

Other names 1

  • Nestor Rodriguez Otero Former name

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
23-149WIMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HCA Florida Trinity Hospital Surgical Assistant Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1205510237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 IAN CT APT 22",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346532701",
            "telephone_number": "813-606-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 IAN CT APT 22",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346532701",
            "telephone_number": "813-606-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ OTERO",
        "first_name": "NESTOR",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "23-149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NESTOR",
            "last_name": "RODRIGUEZ OTERO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.