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

Pedro Antonio Fontanills Rivero, SA-C

Individual provider Surgical Assistant · NPI 1194540047

Pedro Antonio Fontanills Rivero, SA-C is a Surgical Assistant in Homestead, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

16385 SW 302nd St
Homestead, FL 33033-3350
Phone: (305) 389-8282
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 24-496 (FL)

Record details

NPI number1194540047
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorYes
NPI enumeratedNovember 16, 2024
Last updated in NPPESNovember 16, 2024
Certification dateNovember 16, 2024

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