Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gener Alejandro Fajardo Ruiz, SA-C

Individual provider Surgical Assistant · NPI 1790325165

Gener Alejandro Fajardo Ruiz, SA-C is a Surgical Assistant in Worcester, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2020
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Practice location Address checks out

23 County St
Worcester, MA 01604-2403
Phone: (774) 253-2716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 19-500 (MA)

Record details

NPI number1790325165
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorYes
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

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