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

Mr. Enrique Rodriguez, LSA

Individual provider Surgical Assistant · NPI 1124319165

Mr. Enrique Rodriguez, LSA is a Surgical Assistant in Lake Mary, Florida. Practices as a sole proprietor. Licensed in District of Columbia, Florida and Illinois.

Licensed in
DC, FL, IL
In the registry since
2011
Specialties on file
3

Practice location Address checks out

765 Creakwater Ter Apt 205
Lake Mary, FL 32746
Phone: (856) 203-5655
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA0118 (DC)
Surgical Assistant Taxonomy 246ZC0007X (FL)
Surgical Assistant Taxonomy 246ZC0007X · Licence 238.000374 (IL)

Record details

NPI number1124319165
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedApril 25, 2011
Last updated in NPPESAugust 19, 2014
Mailing address765 Creakwater Terrace, Apt. 205, Lake Mary, FL 32746

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