LUIS FERNANDO OLIVARES RODRIGUEZ (NPI# 1730731357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730731357 |
| Entity Type | Individual |
| Full Name | LUIS FERNANDO OLIVARES RODRIGUEZ |
| Credential | SA-C |
| Practice Address |
7913 Summer Sun El Paso TX 79932-1095 |
| Practice Telephone | 9153094878 |
| Mailing Telephone | 9153094878 |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2019-07-13 |
| 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 |
19-298 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
7913 SUMMER SUN |
| City | EL PASO |
| State | TX |
| Zip Code | 79932-1095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659932267 | Rio Grande Pharmacy, LLC | Pharmacy | 5500 Doniphan Dr. Ste 201-202, El Paso, TX 79932 | 2019-06-25 |
| 1730676461 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 8041 N Mesa St # A, El Paso, TX 79932 | 2018-04-18 |
| 1134616063 | Barbara Jin Yoon | Nurse Practitioner | 8041 N Mesa St Ste B3, El Paso, TX 79932 | 2018-04-17 |
| 1225540370 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 7825 N. Mesa St., El Paso, TX 79932 | 2017-10-30 |
| 1386187995 | Nec El Paso Upper Valley Emergency Center, Lp | Clinic/Center | 7860 N Mesa St, El Paso, TX 79932 | 2016-11-30 |
| 1356708028 | Monica Fabiola Delgado | Health Educator | 740 Country Club Rd, El Paso, TX 79932 | 2016-01-26 |
| 1558736504 | Laura Castillo Cole | Nurse Practitioner | 5021 Crossroads Drive, El Paso, TX 79932 | 2015-12-02 |
| 1942644224 | Jessica Marie Rymer | Pediatrics | 181 Gus Rallis Dr, El Paso, TX 79932 | 2013-04-17 |
| 1053670323 | Gwendolyn N. Facison | Contractor | 732 Elmwood Ct B, El Paso, TX 79932 | 2012-05-08 |
| 1063780518 | Stacey S Grajeda | Pharmacist | 8050 N Mesa, Walgreens, El Paso, TX 79932 | 2011-12-12 |
| Find all providers in zip 79932 | ||||
| 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 |
|---|---|---|---|---|
| 1497353593 | Jose De Jesus Alvarado Veloz | Specialist/Technologist, Other | 216 Mango Rd, El Paso, TX 79915-4314 | 2020-10-12 |
| 1093342966 | Irving A Palacios Y Trejo | Specialist/Technologist, Other | 1413 Adolph Carson Pl, El Paso, TX 79936-7203 | 2020-03-23 |
| 1871147173 | Jorge Antonio Fernandez | Specialist/Technologist, Other | 6131 Aztec Rd, El Paso, TX 79925-2012 | 2019-07-25 |
| 1023575222 | Sylvia Helena Estrada Porras | Specialist/Technologist, Other | 808 Starlit Pl, El Paso, TX 79912-1246 | 2019-02-23 |
| 1194200725 | Rafael Ivan Parra | Specialist/Technologist, Other | 1707 N Stanton St Apt 11, El Paso, TX 79902-3566 | 2018-09-29 |
| 1194203752 | Dennice Olivia Marquez Morales | Specialist/Technologist, Other | 4111 Westcity Ct Apt 276, El Paso, TX 79902-1626 | 2018-08-04 |
| 1962865055 | Desdemona Garcia Cervera | Specialist/Technologist, Other | 2907 Eads Pl, El Paso, TX 79935-1813 | 2016-04-05 |
| 1154784379 | David Javier Borrego | Specialist/Technologist, Other | 11029 Lakewood Ave, El Paso, TX 79935-3403 | 2016-04-04 |
| 1023471398 | Carlos Javier Garcia Cervera | Specialist/Technologist, Other | 2907 Eads Pl # 79935, El Paso, TX 79935-1813 | 2016-04-03 |
| 1538720552 | Rafael Ivan Parra Torres | Specialist/Technologist, Other | 1707 N Stanton St Apt 11, El Paso, TX 79902-3566 | 2019-06-21 |
| Find all providers in EL PASO | ||||
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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.