MEDICARE: GIRALDO ALFONSO CEPERO DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN27242	FL

General Provider Information

NPI Number	:	1538892526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIRALDO ALFONSO CEPERO DDS

Provider Business Mailing Address
First Line	:	6551 NW 170TH TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-4638
Country	:	US
Telephone Number	:	305-772-0642
Fax Number	:

Provider Business Practice Location Address
First Line	:	6551 NW 170TH TER
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-4638
Country	:	US
Telephone Number	:	305-772-0642
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	07/06/2022

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Directions to “ GIRALDO ALFONSO CEPERO DDS” Practice Location

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