Individual provider Active NPI

Eduardo Fernandez Aguilar, SA-C

  • Surgical Assistant
  • Hialeah, FL
National Provider Identifier
1669093076
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
16-262 Issued in FL
Practice address
6885 W 7TH Ave Apt 806
Hialeah, FL 33014-4846
Phone
(832) 388-8317
NPI assigned
Apr 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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 16-262 FL Primary

Addresses

Primary practice location

6885 W 7TH Ave Apt 806
Hialeah, FL 33014-4846

Mailing address

6885 W 7TH Ave Apt 806
Hialeah, FL 33014-4846
Phone (832) 388-8317

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
16-262FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1669093076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 W 7TH AVE APT 806",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144846",
            "telephone_number": "832-388-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 W 7TH AVE APT 806",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144846",
            "telephone_number": "832-388-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ AGUILAR",
        "first_name": "EDUARDO",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "16-262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.