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

Mario Manuel Perdomo Santa Cruz, RNFA

Individual provider Surgical Assistant · NPI 1427776095

Mario Manuel Perdomo Santa Cruz, RNFA is a Surgical Assistant in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

4300 Buxton Dr
Louisville, KY 40218-2304
Phone: (786) 675-1616
Show map & directions

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

Specialties & licences

Registered Nurse First Assistant (primary) Taxonomy 163WR0006X · Licence 1174207 (KY)
Surgical Assistant Taxonomy 246ZC0007X · Licence 22-492 (KY)

Record details

NPI number1427776095
Entity typeIndividual (Type 1)
GenderMale
Credentials RNFA
Sole proprietorYes
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022

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