Individual provider · NPI-1

Rolando Walfrido Aguilera Proenza, SA-C

Specialist/Technologist, Other, Surgical Assistant · Hialeah, FL

NPI number1982468864
StatusActive
Last updated in NPPESFeb 12, 2024

Details

NPI
1982468864
Entity type
Individual (NPI-1)
Name
Mr. Rolando Walfrido Aguilera Proenza
Credential
SA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 12, 2024
Certification date
Feb 5, 2024
Last updated
Feb 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant––Yes

Practice location

6528 W 3rd Ave
Hialeah, FL 33012-6718

Phone 786-832-7263

Mailing address

6528 W 3rd Ave
Hialeah, FL 33012-6718

Phone 786-832-7263

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