MR. JESUS ENRIQUE GUARECUCO CASTILLO (NPI# 1477049666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477049666 |
Entity Type | Individual |
Full Name | MR. JESUS ENRIQUE GUARECUCO CASTILLO |
Credential | SA-C |
Practice Address |
6201 Wiley St Hollywood FL 33023-1846 |
Practice Telephone | 7542354581 |
Enumeration Date | 2018-07-10 |
Last Update Date | 2018-07-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
18-280 | FL | Technologists, Technicians & Other Technical Service Providers |
Street Address |
6201 WILEY ST |
City | HOLLYWOOD |
State | FL |
Zip Code | 33023-1846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770878381 | Lori Ann Cancio | Social Worker | 6201 Wiley St, Hollywood, FL 33023-1846 | 2011-06-10 |
1932497880 | Senior Support Services, Inc. | Case Management | 6201 Wiley St, Hollywood, FL 33023-1846 | 2011-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912516139 | Jp Rock Consulting Inc | Nurse Practitioner | 5619 Madison St, Hollywood, FL 33023 | 2020-07-23 |
1144789843 | Fausta Mortimer Virgile | Nurse Practitioner | 6640 Dahlia Drive, Miramar, FL 33023 | 2019-03-13 |
1245758812 | Lunie Madhere | Family Medicine | 7201 Harbour Blvd, Miramar, FL 33023 | 2017-09-05 |
1790203305 | Cassandra Mckenley | Occupational Therapy Assistant | 2931 Utopia Dr, Miramar, FL 33023 | 2017-09-04 |
1518497130 | Paradise Senior Center Inc | Clinic/Center | 6240 Pembroke Rd, Miramar, FL 33023 | 2017-06-15 |
1710416128 | Optimum Health & Nutrition, LLC | Nutritionist | 3261 Sw 64th Terrace, Miramar, FL 33023 | 2017-06-08 |
1275064271 | Esther Ranero Carrazana | Behavioral Analyst | 6412 Sw 21st St, Miramar, FL 33023 | 2017-03-22 |
1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
1619426392 | Tunlab Home Health Agency Inc. | Day Training, Developmentally Disabled Services | 6724 Camelia Drive, Miramar, FL 33023 | 2016-09-23 |
1215385182 | Ruth Giraudy | Behavior Technician | 7912 Biltmore Blvd, Miramar, FL 33023 | 2016-06-01 |
Find all providers in zip 33023 |
Taxonomy Code | 246ZC0007X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Surgical Assistant |
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144829581 | Diana Carolina Villalba Pena | Specialist/Technologist, Other | 555 S Luna Ct Apt 111, Hollywood, FL 33021-7564 | 2020-10-17 |
1487297602 | Denis Karchebnyi | Specialist/Technologist, Other | 3917 Mahogany Ln, Hollywood, FL 33021-2466 | 2019-10-21 |
1366098592 | Susel I Sariol Viltres | Specialist/Technologist, Other | 5818 Pierce St, Hollywood, FL 33021-6247 | 2019-08-13 |
1285163360 | Sandra Maria Cristino | Specialist/Technologist, Other | 5300 Washigton Street Apt.v312, Hollywood, FL 33021-7761 | 2017-06-12 |
1154873644 | Janet Gonzalez Orihuela | Specialist/Technologist, Other | 310 N 72nd Ave, Hollywood, FL 33024-7361 | 2016-10-31 |
1952756967 | Arian Ojeda | Specialist/Technologist, Other | 3611 Nw 72nd Ave, Hollywood, FL 33024-1611 | 2016-04-27 |
1477910560 | Juan Carrazana | Specialist/Technologist, Other | 6130 Fillmore St Apt 7, Hollywood, FL 33024-7959 | 2016-01-21 |
1447628508 | Gerardo De La Luz Aguilera Diaz | Specialist/Technologist, Other | 2230 N 49th Ave, Hollywood, FL 33021-4042 | 2015-09-07 |
1588996219 | Ruben Santiesteban Jr. | Specialist/Technologist, Other | 7820 Raleigh St, Hollywood, FL 33024 | 2010-02-05 |
1063949543 | Felix David Torres | Specialist/Technologist, Other | 3501 Johnson St, Hollywood, FL 33021-5421 | 2017-05-16 |
Find all providers in HOLLYWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.