Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alejandro Antonio Tardencilla Gutierrez

Individual provider Surgical Assistant · NPI 1063102937

Alejandro Antonio Tardencilla Gutierrez is a Surgical Assistant in Woodbridge, Virginia. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

7040 Lakota Dr Apt 203
Woodbridge, VA 22192-5395
Phone: (407) 923-8493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 23-164 (WI)

Record details

NPI number1063102937
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 12, 2023
Last updated in NPPESSeptember 11, 2025
Certification dateMay 12, 2023

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