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MIGUEL RODOLFO GARDEN HERNANDEZ SA-C
NPI 1902365646
Specialist/Technologist, Other - Surgical Assistant in Fairfax, VA

Active since March 12, 2019
12011 LEE JACKSON HWY STE 501, FAIRFAX, VA 22033(703) 349-1379(703) 591-0005 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miguel Rodolfo Garden Hernandez Sa-c NPPES

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

MIGUEL RODOLFO GARDEN HERNANDEZ SA-C (NPI 1902365646) is an individual surgical assistant in Fairfax, Virginia, licensed in Maryland (16-516) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1902365646
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMIGUEL RODOLFO GARDEN HERNANDEZCredential: SA-C
Location Address12011 LEE JACKSON HWY STE 501Fairfax, VA 22033-3315
Mailing AddressPo Box 221135Chantilly, VA 20153-1135 · (703) 349-1379 · Fax (703) 591-0005
Phone(703) 349-1379
Fax(703) 591-0005
Sole ProprietorYes
Enumeration DateMarch 12, 2019
✔ NPI 1902365646 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 MD · 16-516
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.

12011 LEE JACKSON HWY STE 501, Fairfax, VA 22033
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABDUL RAB SAPAN
Specialist/Technologist, Other (Surgical Assistant)
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA 22033
Fairfax County (703) 259-7027
ALEXIS TITE'ANNA EPPS
Specialist/Technologist, Other (Surgical Assistant)
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA 22033
Fairfax County (703) 259-7027
MR. ANDRES FRANCISCO CAMPOVERDE
Specialist/Technologist, Other (Surgical Assistant)
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA 22033
Fairfax County (703) 349-1379
MICHEL KATULA
Specialist/Technologist, Other (Surgical Assistant)
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA 22033
Fairfax County (703) 259-7027
CHNOOR HAWRAMI CSA
Specialist/Technologist, Other (Surgical Assistant)
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA 22033
Fairfax County (703) 259-7027
ASHLEY M GIVHENS
Specialist/Technologist, Other (Surgical Assistant)
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA 22033
Fairfax County (703) 349-1379
KONSTANTIN SERGEYEVICH GUTNICHENKO
Specialist/Technologist, Other (Surgical Assistant)
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA 22033
Fairfax County (703) 259-7027
MR. SHAH NOORISTANI
Specialist/Technologist, Other (Surgical Assistant)
12011 LEE JACKSON HWY STE 501
FAIRFAX, VA 22033
Fairfax County (703) 725-3359

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 Miguel Garden Hernandez's NPI number?

The NPI number for Miguel Garden Hernandez is 1902365646. It was assigned to this individual provider in the NPPES registry on March 12, 2019.

Where is Miguel Garden Hernandez located?

Miguel Garden Hernandez practices at 12011 Lee Jackson Hwy Ste 501, Fairfax, VA 22033. The listed phone number is (703) 349-1379.

What is Miguel Garden Hernandez'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 Miguel Garden Hernandez was last updated on March 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.