Individual provider Active NPI

Rolando Walfrido Aguilera Proenza, SA-C

  • Surgical Assistant
  • Hialeah, FL
National Provider Identifier
1982468864
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
6528 W 3Rd Ave
Hialeah, FL 33012-6718
Phone
(786) 832-7263
NPI assigned
Feb 12, 2024
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 NU Primary

Addresses

Primary practice location

6528 W 3Rd Ave
Hialeah, FL 33012-6718

Mailing address

6528 W 3Rd Ave
Hialeah, FL 33012-6718
Phone (786) 832-7263

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

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1982468864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 W 3RD AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126718",
            "telephone_number": "786-832-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6528 W 3RD AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126718",
            "telephone_number": "786-832-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILERA PROENZA",
        "first_name": "ROLANDO",
        "middle_name": "WALFRIDO",
        "name_prefix": "Mr.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "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 Feb 12, 2024; 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.