Individual provider Active NPI

Rafael Eduardo Primera Weffer, SA-C

  • Surgical Assistant
  • Orlando, FL
National Provider Identifier
1427795434
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
18-149 Issued in FL
Practice address
13536 Turtle Marsh Loop Apt 524
Orlando, FL 32837-6621
Phone
(407) 668-7195
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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 18-149 FL Primary

Addresses

Primary practice location

13536 Turtle Marsh Loop Apt 524
Orlando, FL 32837-6621

Mailing address

13536 Turtle Marsh Loop Apt 524
Orlando, FL 32837-6621
Phone (407) 668-7195

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
18-149FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1427795434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13536 TURTLE MARSH LOOP APT 524",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376621",
            "telephone_number": "407-668-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13536 TURTLE MARSH LOOP APT 524",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376621",
            "telephone_number": "407-668-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMERA WEFFER",
        "first_name": "RAFAEL",
        "middle_name": "EDUARDO",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "18-149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.