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305 PLASTIC SURGERY DORAL 4, LLC

License Number: OSR1851

Data As Of 5/14/2026

Profession
Office Surgery Registration
License
OSR1851
License Status
Clear/
Qualifications
Surgery w moderate/conscious to deep sedation
License Expiration Date
License Original Issue Date
03/13/2024
Address of Record
10305 NW 58TH ST.
4TH FLOOR
DORAL, FL 33178
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALFONSO, IVON MARIA Anesthesia Provider Advanced Practice Registered Nurse 11015765 10/06/2024
ALLY, CHRISTOPHER AFDAL Anesthesia Provider Advanced Practice Registered Nurse 9284176 07/08/2025
ANTOINE, STEVE Anesthesia Provider Advanced Practice Registered Nurse 11006057 04/21/2026
AVALOS CRUZ, YESSY Additional Surgical Staff Unlicensed Facility Personnel 05/06/2026
BARCELLOS, ALEXANDRE Anesthesia Provider Advanced Practice Registered Nurse 3273492 04/24/2026
BUILES, PAMELA Additional Surgical Staff Unlicensed Facility Personnel 03/16/2026
CANNON, CLIFTON LAMAR III Physician Medical Doctor 146078 05/06/2026
CASTILLO, GABRIELA Additional Surgical Staff Unlicensed Facility Personnel 01/21/2026
CORNISH, ALEXANDRA MARIA MS Anesthesia Provider Advanced Practice Registered Nurse 9243777 02/26/2025
DARMAS, MICHAEL EMILE JR Anesthesia Provider Advanced Practice Registered Nurse 11010859 04/09/2025
DE LA FE FUNDORA, MARYLAURA Additional Surgical Staff Unlicensed Facility Personnel 08/15/2025
DEAN, VIVIANE A Anesthesia Provider Advanced Practice Registered Nurse 9279190 05/27/2025
DEL RISCO, JESUS LAZARO Anesthesia Provider Advanced Practice Registered Nurse 2512552 03/13/2024
DELGADO ZAMORA, NOEL Recovery Registered Nurse 9673768 02/24/2025
DIETSCH, GABRIEL Anesthesia Provider Advanced Practice Registered Nurse 9248348 06/20/2025
DIGERONIMO, ERNEST MICHAEL MD Physician Medical Doctor 37616 06/18/2024
DIGERONIMO, GIANNI Additional Surgical Staff Unlicensed Facility Personnel 07/26/2024
DOMINGO, CYNTHIA DUMAPIT Anesthesia Provider Advanced Practice Registered Nurse 9272028 05/06/2026
ESCOBAR, DANIEL BENJAMIN Anesthesia Provider Advanced Practice Registered Nurse 11005621 04/03/2025
FRIAS SANCHEZ, ULISES Anesthesia Provider Advanced Practice Registered Nurse 11009554 10/01/2024
GARCIA, YUSLEIDY Additional Surgical Staff Unlicensed Facility Personnel 10/01/2024
GIBSON, JENNIFER Anesthesia Provider Advanced Practice Registered Nurse 11032768 05/28/2025
GONZALES, DANIEL Officer Unlicensed Facility Personnel 03/13/2024
GONZALES, DANIEL Owner Unlicensed Facility Personnel 03/13/2024
GONZALEZ DIAZ, NELIA Additional Surgical Staff Unlicensed Facility Personnel 11/19/2025
HARRAR, MIRIAM Anesthesia Provider Advanced Practice Registered Nurse 11013316 07/08/2024
JIMENEZ TORRENS, MARIA Additional Surgical Staff Unlicensed Facility Personnel 05/06/2026
KASNAKOV, VLADIMIR Additional Surgical Staff Unlicensed Facility Personnel 08/12/2024
LARA, REYNIER Officer Unlicensed Facility Personnel 03/13/2024
LARA, REYNIER Owner Unlicensed Facility Personnel 03/13/2024
LASTER LOPEZ, PABLO Additional Surgical Staff Unlicensed Facility Personnel 05/06/2026
LEHMAN, KYLE Anesthesia Provider Advanced Practice Registered Nurse 11002549 03/13/2025
LEON, MIGUEL ANGEL Anesthesia Provider Advanced Practice Registered Nurse 9176554 05/28/2025
MARTINEZ MORALES, ELIZABET Recovery Registered Nurse 9520624 04/15/2026
MORALES, FERMIN ESTEBAN Designated Physician Medical Doctor 110395 01/17/2025
MORALES, FERMIN ESTEBAN Physician Medical Doctor 110395 09/07/2024
MUNOZ, DANNY RENE Anesthesia Provider Advanced Practice Registered Nurse 9311468 12/10/2024
OLIVA, MARCOS RAFAEL Anesthesia Provider Advanced Practice Registered Nurse 9426020 06/18/2024
ORTIZ, EVELYN Anesthesia Provider Advanced Practice Registered Nurse 9258699 04/01/2025
PARRADO, SINDY Anesthesia Provider Advanced Practice Registered Nurse 11037213 04/14/2026
PEREZ BARROSO, AHMED Additional Surgical Staff Unlicensed Facility Personnel 09/19/2024
PEREZ HERNANDEZ, YAIRIA Recovery Registered Nurse 9660173 07/08/2025
PEREZ IRAOLA, DANIA Additional Surgical Staff Unlicensed Facility Personnel 05/06/2026
PEREZ ORELLANOS, NORMA M Additional Surgical Staff Certified Nursing Assistant 170082 05/07/2025
PEREZ SERRANO, ISORA Recovery Registered Nurse 9478207 07/31/2025
PEREZ-VELEZ, WILFRED JUNIOR Anesthesia Provider Advanced Practice Registered Nurse 9469917 07/31/2025
PONS RODRIGUEZ, LUCIYET Additional Surgical Staff Unlicensed Facility Personnel 01/14/2026
RAMOS RAMIERZ, GIOLENNYS Additional Surgical Staff Unlicensed Facility Personnel 06/16/2025
RIVAS, GABRY ANTONIO Anesthesia Provider Advanced Practice Registered Nurse 11000769 11/15/2024
RIVERA PEREZ, JANISEL Additional Surgical Staff Unlicensed Facility Personnel 09/11/2025
RIVERA, KATHERINE JANIS Anesthesia Provider Advanced Practice Registered Nurse 9473322 09/25/2025
RODRIGUEZ, DIEGO F Anesthesia Provider Advanced Practice Registered Nurse 9320955 05/27/2025
ROMAN, DAYMARI Anesthesia Provider Advanced Practice Registered Nurse 11021371 05/28/2025
SEPULVEDA-RUIZ, ARIEL Anesthesia Provider Advanced Practice Registered Nurse 3367602 02/10/2025
SINGH, UMAISH SHARMA Anesthesia Provider Advanced Practice Registered Nurse 9329310 07/08/2025
TAPANES, YOEL Anesthesia Provider Advanced Practice Registered Nurse 9347893 11/15/2024
TRASTOY, LESTER Additional Surgical Staff Unlicensed Facility Personnel 03/13/2024
URUETA, ESTHER CECILIA Anesthesia Provider Advanced Practice Registered Nurse 9229852 06/28/2024
VEGA, PAUL MICHAEL Anesthesia Provider Advanced Practice Registered Nurse 11000770 05/06/2025
YANEZ SOTO, FRANCISCO JAVIER Additional Surgical Staff Registered Nurse 9619856 06/17/2024

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No Continuing Education Hours Received from Approved Providers As Of 5/14/2026



* 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.