Healthcare Provider Details

I. General information

NPI: 1063212637
Provider Name (Legal Business Name): CESAR SEGARRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5995 SW 71ST ST # 1A
SOUTH MIAMI FL
33143-3531
US

IV. Provider business mailing address

11518 SW 235TH ST
HOMESTEAD FL
33032-6267
US

V. Phone/Fax

Practice location:
  • Phone: 305-669-6833
  • Fax:
Mailing address:
  • Phone: 202-853-8433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberHSE44023
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: