Healthcare Provider Details

I. General information

NPI: 1720667363
Provider Name (Legal Business Name): CESAR CARDENAS JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 ARRINGDON PARK DR STE 300
MORRISVILLE NC
27560-5677
US

IV. Provider business mailing address

5601 ARRINGDON PARK DR STE 300
MORRISVILLE NC
27560-5677
US

V. Phone/Fax

Practice location:
  • Phone: 919-660-5066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: