Active NPI
Rolando Santana Mendez
- Registered Nurse First Assistant
- Panama City, FL
National Provider Identifier
1518207653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN9448937
- Practice address
- 4045 Woodville LN
Panama City, FL 32405-3279 - Phone
- (678) 608-8720
- NPI assigned
- Feb 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 725572 | NY | |
| Surgical Assistant | 246ZC0007X | 13-153 | GA | |
| Registered Nurse First Assistant | 163WR0006X | RN9448937 | FL | Primary |
Addresses
Primary practice location
4045 Woodville LN
Panama City, FL 32405-3279
Mailing address
4045 Woodville LN
Panama City, FL 32405-3279
Phone (678) 608-8720
Other practice location 1
6550 Roswell Rd NE
Sandy Springs, GA 30328-3141
Phone (678) 608-8720
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
| License | State | Type | Specialty |
|---|---|---|---|
| 725572 | NY | MD | General Practice Registered Nurse |
| RN9448937 | FL | MD | Registered Nurse First Assistant |
| 13-153 | GA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570320000000",
"number": "1518207653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 WOODVILLE LN",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324053279",
"telephone_number": "678-608-8720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 WOODVILLE LN",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324053279",
"telephone_number": "678-608-8720"
}
],
"practiceLocations": [
{
"address_1": "6550 Roswell Rd NE",
"address_purpose": "LOCATION",
"city": "Sandy Springs",
"state": "GA",
"postal_code": "303283141",
"country_code": "US",
"telephone_number": "678-608-8720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTANA MENDEZ",
"first_name": "ROLANDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-27",
"last_updated": "2019-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "725572",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "13-153",
"primary": false
},
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "FL",
"license": "RN9448937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.