Perdomo Santa Cruz, Mario Manuel

Perdomo Santa Cruz, Mario Manuel is an sole proprietor health care provider with primary practice located at 4300 Buxton Dr , Louisville KY 40218-2304. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Nursing Service Providers / Registered Nurse First Assistant. Nursing Service Providers / Registered Nurse First Assistant is his primary health care specialty. Perdomo Santa Cruz, Mario Manuel can be contacted via phone (786) 675-1616.

Contact Information

Primary practice address
4300 Buxton Dr Louisville KY 40218-2304
Phone: (786) 675-1616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 22-492 Kentucky
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 1174207 Kentucky

Profile Details

NPI number 1427776095
LBN Legal business name Perdomo Santa Cruz, Mario Manuel
Credentials RNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2022
Last updated Aug 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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