DIANA CAROLINA VILLALBA PENA (NPI# 1144829581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144829581 |
| Entity Type | Individual |
| Full Name | DIANA CAROLINA VILLALBA PENA |
| Credential | SA-C |
| Practice Address |
555 S Luna Ct Apt 111 Hollywood FL 33021-7564 |
| Practice Telephone | 9545542445 |
| Mailing Telephone | 9545542445 |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
20-398 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
555 S LUNA CT APT 111 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-7564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1477049666 | Jesus Enrique Guarecuco Castillo | Specialist/Technologist, Other | 6201 Wiley St, Hollywood, FL 33023-1846 | 2018-07-10 |
| 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.