Individual provider · Type 1 NPI

Eder Javier Fernandez Portillo, CSA

Surgical Assistant · San Antonio, TX

NPI number 1437014719 Active

Practice location

9635 Huebner Rd
San Antonio, TX 78240-1512

Mailing address

2424 Gold Canyon Rd Apt 128
San Antonio, TX 78259-3593

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007X5515 (TX)

Surgical Assistant: 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 h…

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About NPI 1437014719

Eder Javier Fernandez Portillo, CSA's National Provider Identifier is 1437014719, issued on Dec 18, 2025. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in San Antonio, TX. The record was last updated on Dec 18, 2025.