Individual provider · NPI-1

Kenwish Kenay Espinosa Aquino, SA-C

Specialist/Technologist, Other, Surgical Assistant · Pembroke Pines, FL

NPI number1114733862
StatusActive
Last updated in NPPESDec 7, 2024

Details

NPI
1114733862
Entity type
Individual (NPI-1)
Name
Kenwish Kenay Espinosa Aquino
Credential
SA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 7, 2024
Certification date
Dec 7, 2024
Last updated
Dec 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant19-537ILYes

Practice location

18433 Nw 20th St
Pembroke Pines, FL 33029-3803

Phone 786-969-1111

Mailing address

18433 Nw 20th St
Pembroke Pines, FL 33029-3803

Phone 786-969-1111

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