Healthcare Provider Details

I. General information

NPI: 1700713112
Provider Name (Legal Business Name): NUEVA ERA HYPERBARICS SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 33RD ST
ORLANDO FL
32839-8852
US

IV. Provider business mailing address

11631 90TH ST
LARGO FL
33773-4719
US

V. Phone/Fax

Practice location:
  • Phone: 939-202-3265
  • Fax:
Mailing address:
  • Phone: 939-202-3265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EDWIN ALBERTO SANTIAGO RODRIGUEZ
Title or Position: CEO
Credential: CHT & CHWS
Phone: 939-202-3265