=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700713112
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NUEVA ERA HYPERBARICS SOLUTIONS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2026
-----------------------------------------------------
Last Update Date | 05/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1800 33RD ST
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32839-8852
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-202-3265
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11631 90TH ST
-----------------------------------------------------
City | LARGO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33773-4719
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-202-3265
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | EDWIN ALBERTO SANTIAGO RODRIGUEZ
-----------------------------------------------------
Credential | CHT & CHWS
-----------------------------------------------------
Telephone | 939-202-3265
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------