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

Miguel Rodolfo Garden Hernandez, SA-C

Individual provider Surgical Assistant · NPI 1902365646

Miguel Rodolfo Garden Hernandez, SA-C is a Surgical Assistant in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2019

Practice location Address checks out

12011 Lee Jackson Hwy Ste 501
Fairfax, VA 22033-3315
Phone: (703) 349-1379
Fax: (703) 591-0005
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 16-516 (MD)

Record details

NPI number1902365646
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorYes
NPI enumeratedMarch 12, 2019
Last updated in NPPESMarch 12, 2019

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