Cesar Gerardo Amaya Perez, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

20-465 Issued in WI

Practice address

4719 Cason Cove Dr Apt 1504
Orlando, FL 32811-6356

Phone

(321) 512-2979

NPI assigned

Dec 5, 2020

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Dec 5, 2020.

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1366048464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 CASON COVE DR APT 1504",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116356",
            "telephone_number": "321-512-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 CASON COVE DR APT 1504",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116356",
            "telephone_number": "321-512-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAYA PEREZ",
        "first_name": "CESAR",
        "middle_name": "GERARDO",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "20-465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Amaro Garcia
• Gloridalys Amaro
• Richard M Amason Jr., ARNP
• Kristi-Ana Amato
• Amaury O. Valle, DMD, P.a
• Chelsea Nicole Amaya
• Polo Amaya
• Shawn Anthony Amaya, CRT
• Sofiia Amaya
• Suyapa Concepcion Amaya, MSW., BCBA, LABA

• All providers in Orlando, FL
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; 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.