Active NPI
Tony De la Rosa Santana
- Surgical Assistant
- Altamonte Springs, FL
National Provider Identifier
1669875548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 14-462
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14-462 | CO | MD | Surgical 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.