Individual provider Active NPI

Tony De la Rosa Santana

  • Surgical Assistant
  • Altamonte Springs, FL
National Provider Identifier
1669875548
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
14-462 Issued in CO
Practice address
660 Palm Springs Dr Ste C
Altamonte Springs, FL 32701-7864
Phone
(407) 332-9871
NPI assigned
Oct 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 14-462 CO Primary

Addresses

Primary practice location

660 Palm Springs Dr Ste C
Altamonte Springs, FL 32701-7864

Mailing address

1900 Hunt Avenue
Bronx, NY 10462
Phone (347) 881-8539

Other practice location 1

681 Ashford Oaks Dr Apt 202
Altamonte Springs, FL 32714-5560
Phone (347) 881-8539

Other practice location 2

1900 Hunt Ave
Bronx, NY 10462-3217
Phone (347) 881-8539

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
14-462COMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1669875548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HUNT AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "347-881-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 PALM SPRINGS DR STE C",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017864",
            "telephone_number": "407-332-9871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "681 Ashford Oaks Dr Apt 202",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327145560",
            "country_code": "US",
            "telephone_number": "347-881-8539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Hunt Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104623217",
            "country_code": "US",
            "telephone_number": "347-881-8539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA ROSA SANTANA",
        "first_name": "TONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-06",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "14-462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.