1. Home
  2. Directory
  3. Virginia
  4. Woodbridge
  5. Specialist Technologist Other
  6. NPI Profile

ALEJANDRO ANTONIO TARDENCILLA GUTIERREZ
NPI 1063102937
Specialist/Technologist, Other - Surgical Assistant in Woodbridge, VA

Active since May 12, 2023
7040 LAKOTA DR APT 203, WOODBRIDGE, VA 22192(407) 923-8493 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, May 12, 2023 (2 updates tracked since 2023).

About Alejandro Antonio Tardencilla Gutierrez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEJANDRO ANTONIO TARDENCILLA GUTIERREZ (NPI 1063102937) is an individual surgical assistant in Woodbridge, Virginia, licensed in Wisconsin (23-164) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1063102937
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameALEJANDRO ANTONIO TARDENCILLA GUTIERREZ
Location Address7040 LAKOTA DR APT 203Woodbridge, VA 22192-5395
Mailing Address7040 Lakota Dr Apt 203Woodbridge, VA 22192-5395 · (407) 923-8493
Phone(407) 923-8493
Sole ProprietorYes
Enumeration DateMay 12, 2023
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1063102937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in WI · 23-164
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
7040 LAKOTA DR APT 203, Woodbridge, VA 22192
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alejandro Antonio Tardencilla Gutierrez's NPI number?

The NPI number for Alejandro Antonio Tardencilla Gutierrez is 1063102937. It was assigned to this individual provider in the NPPES registry on May 12, 2023.

Where is Alejandro Antonio Tardencilla Gutierrez located?

Alejandro Antonio Tardencilla Gutierrez practices at 7040 Lakota Dr Apt 203, Woodbridge, VA 22192. The listed phone number is (407) 923-8493.

What is Alejandro Antonio Tardencilla Gutierrez's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Alejandro Antonio Tardencilla Gutierrez was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.