License Verification

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RT Diagnostic, Inc.

APS Institute of South Florida

License Number: OSR1463

Data As Of 4/25/2025

Profession
Office Surgery Registration
License
OSR1463
License Status
CLEAR/
Qualifications
Surgery w moderate/conscious to deep sedation
License Expiration Date
License Original Issue Date
01/31/2020
Address of Record
8415 SW 24 STREET
SUITE 203
MIAMI, FL 33155
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ABU-DEIAB, MOHAMMED FOUAD Anesthesia Provider Advanced Practice Registered Nurse 9467881 06/07/2023
ALFONSO, IVON MARIA Anesthesia Provider Advanced Practice Registered Nurse 11015765 10/04/2023
ALONSO, CARMEN Additional Surgical Staff Registered Nurse 9473667 10/04/2023
ALONSO, CLAUDIA Anesthesia Provider Advanced Practice Registered Nurse 11005614 11/02/2022
ATAURY- BARBERO, JOSE CARLOS Anesthesia Provider Advanced Practice Registered Nurse 11015287 11/02/2022
BECEIRO, ALEXIS JOSE Anesthesia Provider Advanced Practice Registered Nurse 3293282 10/14/2020
BONET, ANIA Additional Surgical Staff Unlicensed Facility Personnel 06/07/2024
BREMMER, JEROME Additional Surgical Staff Unlicensed Facility Personnel 07/30/2024
CEPEDA BURY, JOHN Additional Surgical Staff Unlicensed Facility Personnel 11/02/2022
CHANG, OLIVER Physician Medical Doctor 116714 01/03/2024
DE LE TORRIENTE, AMALOHA Additional Surgical Staff Unlicensed Facility Personnel 11/02/2022
DEL RISCO, JESUS LAZARO Anesthesia Provider Advanced Practice Registered Nurse 2512552 07/27/2021
DELGADO, ROBERTO Agent Unlicensed Facility Personnel 01/31/2020
DELGADO, ROBERTO Managing Employee Unlicensed Facility Personnel 01/31/2020
DELGADO, ROBERTO Officer Unlicensed Facility Personnel 01/31/2020
DELGADO, ROBERTO Owner Unlicensed Facility Personnel 01/31/2020
DELGADO, ROBERTO Principal Unlicensed Facility Personnel 01/31/2020
DIEGUEZ, LOURDES Anesthesia Provider Advanced Practice Registered Nurse 3117612 09/19/2023
DOMINGO, CYNTHIA DUMAPIT Anesthesia Provider Advanced Practice Registered Nurse 9272028 08/25/2020
ESCOBAR, DANIEL BENJAMIN Anesthesia Provider Advanced Practice Registered Nurse 11005621 11/02/2022
FERNANDEZ, ROGERS Additional Surgical Staff Unlicensed Facility Personnel 01/15/2021
GOMEZ, PABLO Additional Surgical Staff Unlicensed Facility Personnel 03/31/2024
GONZALEZ GONZALEZ, ELIZABETH Recovery Registered Nurse 9525819 01/15/2021
GORDON, PIERRE S Physician Medical Doctor 141400 03/18/2025
HERNANDEZ, GRETTEL Anesthesia Provider Advanced Practice Registered Nurse 11005565 02/14/2023
JOHNSON, MARCIE Additional Surgical Staff Unlicensed Facility Personnel 04/18/2023
KACHNIARZ, BARTLOMIEJ Physician Medical Doctor 163376 12/14/2023
LAM, SENG FOOK Anesthesia Provider Advanced Practice Registered Nurse 9174422 12/05/2023
LEON, MIGUEL ANGEL Anesthesia Provider Advanced Practice Registered Nurse 9176554 09/22/2021
LOPEZ COSME, MILAN Additional Surgical Staff Unlicensed Facility Personnel 07/11/2023
LOPEZ NAVA, ROSANNA Additional Surgical Staff Unlicensed Facility Personnel 10/18/2023
LORA, FERNANDO MD Physician Medical Doctor 45837 02/03/2023
LUIS, RICHARD LAZARO Anesthesia Provider Advanced Practice Registered Nurse 9328625 04/18/2023
MEDINA, ISABEL Additional Surgical Staff Unlicensed Facility Personnel 06/13/2024
MELGEN, JORGE Anesthesia Provider Medical Doctor 87484 03/18/2025
MUNOZ, JOSE ANTONIO Physician Medical Doctor 134548 02/03/2023
PADILLA VAZQUEZ, GRETHER Anesthesia Provider Advanced Practice Registered Nurse 11018193 03/18/2025
PERALTA SALAS, JOSE Additional Surgical Staff Unlicensed Facility Personnel 03/18/2025
PERDOMO, ARLES Designated Physician Medical Doctor 87444 11/06/2023
RAMOS, ALEJANDRO Additional Surgical Staff Unlicensed Facility Personnel 04/27/2022
RANGEL PEREZ, EVA Additional Surgical Staff Unlicensed Facility Personnel 11/02/2022
REYES-SERRANO, MARIO E Physician Medical Doctor 94353 05/05/2020
RIVAS, GABRY ANTONIO Anesthesia Provider Advanced Practice Registered Nurse 11000769 11/02/2022
RIVERA, KATHERINE JANIS Anesthesia Provider Advanced Practice Registered Nurse 9473322 09/12/2024
RYAN, HILDA Office Manager Unlicensed Facility Personnel 01/31/2020
SALAS, RAFAEL EMERICK MD Physician Medical Doctor 108242 01/25/2022
SANCHEZ-WILSON, CAROLINA CONCEPCION Anesthesia Provider Advanced Practice Registered Nurse 9231795 09/30/2022
SERPA, JOHN ANTHONY Physician Medical Doctor 79847 06/28/2024
SIMMONS, OLIVER POPE Physician Medical Doctor 138195 07/21/2024
TORRES, ERNESTO VLADIMIR Physician Medical Doctor 114101 12/19/2022
URDANETA TORRES, ENDER Additional Surgical Staff Unlicensed Facility Personnel 07/15/2024
VEGA, PAUL MICHAEL Anesthesia Provider Advanced Practice Registered Nurse 11000770 12/14/2023
VERENZUELA, ALBERTO Additional Surgical Staff Unlicensed Facility Personnel 06/23/2020

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/25/2025



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.