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General NPI Number Information
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NPI Number | 1780772822
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Entity Type | Organization
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Legal Business Name | CICERO ORTHO-MED CENTER INC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 4575 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33126-2306
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Country | US
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Telephone | 305-448-4002
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Fax | 305-448-1956
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Provider Business Mailing Address
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Address Line | 4567 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33126-2306
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Country | US
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Telephone | 305-448-4002
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Fax | 305-448-1956
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANA CICERO OCEGUERA
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Credential |
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Telephone | 305-448-4002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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