Eder Javier Fernandez Portillo, CSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

5515 Issued in TX

Practice address

9635 Huebner Rd
San Antonio, TX 78240-1512

Phone

(210) 343-1630

NPI assigned

Dec 18, 2025

Sex

Male

Sole proprietor

No

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": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1437014719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 GOLD CANYON RD APT 128",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401512",
            "telephone_number": "210-343-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ PORTILLO",
        "first_name": "EDER",
        "middle_name": "JAVIER",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "5515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvin-Christopher R Fermin
• Vitoria Regia Fernandes Castro
• Anjali Maria Fernandes, M.A., CCC-SLP
• Cristian Pablo Fernandez Falcon, M. D.
• Maria F Fernandez Falcon, MD
• Stephanie Rae Fernandez-Degroat, LPC
• Lorena M Fernandez-Restrepo, M.D.
• Diego Daniel Fernandez-Vargas
• Alberto T. Fernandez, M.D.
• Alexa Fernandez

• Surgical Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.