Jesus Salvador Rodriguez Requena, SA-C525

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

R362437644660 Issued in FL

Practice address

8814 W Flagler St Apt 207
Miami, FL 33174-3946

Phone

(305) 497-3036

NPI assigned

Sep 22, 2017

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

Other names 1

• Jesus Salvador Rodriguez Requena Professional name

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": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1639688583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 W FLAGLER ST APT 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743946",
            "telephone_number": "305-497-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 W FLAGLER ST APT 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743946",
            "telephone_number": "305-497-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ REQUENA",
        "first_name": "JESUS",
        "middle_name": "SALVADOR",
        "credential": "SA-C525",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-22",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "R362437644660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESUS",
            "last_name": "RODRIGUEZ REQUENA",
            "middle_name": "SALVADOR",
            "credential": "FIRST SA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Frances Rodriguez Ramos, MD
• Laritza Rodriguez Ramos
• Meilyn Rodriguez Ramos, PSY.D
• Rodriguez Rehabilitation Services Inc
• Caridad Rodriguez Reina
• Amadelys Rodriguez Reyes
• Annelis Rodriguez Reyes
• Arilys Rodriguez Reyes
• Maria De Los a Rodriguez Reyes
• Nancy Barbara Rodriguez Reyes

• Surgical Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.