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

Joel Josue Vallenilla Tolosa, SA-C

Individual provider Surgical Physician Assistant · NPI 1619525714

Joel Josue Vallenilla Tolosa, SA-C is a Surgical Physician Assistant in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

14047 Walcott Ave
Orlando, FL 32827-7471
Phone: (407) 272-8505
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgical Assistant Taxonomy 246ZC0007X · Licence 17-398 (FL)

Record details

NPI number1619525714
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorYes
NPI enumeratedSeptember 1, 2019
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021

Other providers in Orlando