Healthcare Provider Details

I. General information

NPI: 1871555607
Provider Name (Legal Business Name): CESARIO FERRER FERRER JR. MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 3RD ST W
RANDOLPH A F B TX
78150-4800
US

IV. Provider business mailing address

5 W PARK
UNIVERSAL CITY TX
78148-5634
US

V. Phone/Fax

Practice location:
  • Phone: 210-652-9204
  • Fax:
Mailing address:
  • Phone: 210-659-6020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101031780
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number0101031780
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: