MEDICARE: DR. RUI PAULO CEREJO D.O.

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
1	207RR0500X	Rheumatology Physician	OS8693	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1013917277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUI PAULO CEREJO D.O.

Provider Business Mailing Address
First Line	:	6056 BOYNTON BEACH BLVD STE 145
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3500
Country	:	US
Telephone Number	:	561-439-1800
Fax Number	:	561-439-4874

Provider Business Practice Location Address
First Line	:	7108 FAIRWAY DR STE 300
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3799
Country	:	US
Telephone Number	:	561-626-9696
Fax Number	:	561-626-2264

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	01/31/2019

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