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NPI Code Detail

MEDICARE: DR. CESAR AQUILES LLUBERES M.D.

MEDICARE: DR. CESAR AQUILES LLUBERES M.D.
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMT211837PA
22084P0804XChild & Adolescent Psychiatry PhysicianME148247FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619326832
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CESAR AQUILES LLUBERES M.D.
Provider Business Mailing Address
First Line : 4480 51ST ST W
Second Line :
City : BRADENTON
State : FL
Zip : 34210-2855
Country : US
Telephone Number : 941-251-5000
Fax Number :
Provider Business Practice Location Address
First Line : 4480 51ST ST W
Second Line :
City : BRADENTON
State : FL
Zip : 34210-2855
Country : US
Telephone Number : 941-251-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2016
Last Update Date : 07/13/2021

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