Active NPI
Jenny Korina Perozo Quiroz, SA-C
- Surgical Assistant
- Orlando, FL
National Provider Identifier
1760002125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 19-485
- Practice address
- 1921 S Kirkman Rd Apt 222
Orlando, FL 32811-2318 - Phone
- (407) 781-7387
- NPI assigned
- Apr 25, 2020
- 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 | 19-485 | FL | Primary |
Addresses
Primary practice location
1921 S Kirkman Rd Apt 222
Orlando, FL 32811-2318
Mailing address
1921 S Kirkman Rd Apt 222
Orlando, FL 32811-2318
Phone (407) 781-7387
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 |
|---|---|---|---|
| 19-485 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587772800000",
"number": "1760002125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 S KIRKMAN RD APT 222",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328112318",
"telephone_number": "407-781-7387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 S KIRKMAN RD APT 222",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328112318",
"telephone_number": "407-781-7387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEROZO QUIROZ",
"first_name": "JENNY",
"middle_name": "KORINA",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-25",
"last_updated": "2020-04-25",
"certification_date": "2020-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "19-485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.