Active NPI
Eliseth Maria Fuenmayor
- Surgical Assistant
- Tampa, FL
National Provider Identifier
1548069198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 09-253
- Practice address
- 7171 N Dale Mabry Hwy
Tampa, FL 33614-2665 - Phone
- (813) 558-8070
- NPI assigned
- Mar 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 09-253 | WI | Primary |
Addresses
Primary practice location
7171 N Dale Mabry Hwy
Tampa, FL 33614-2665
Mailing address
7171 N Dale Mabry Hwy
Tampa, FL 33614-2665
Phone (813) 558-8070
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 |
|---|---|---|---|
| 09-253 | WI | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1548069198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7171 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142665",
"telephone_number": "813-558-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142665",
"telephone_number": "813-558-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENMAYOR",
"first_name": "ELISETH",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-07",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "WI",
"license": "09-253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.