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NPI Code Detail

MEDICARE: ANA GABRIELA CEPERO ROQUE

MEDICARE: ANA GABRIELA CEPERO ROQUE
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
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1336096437
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA GABRIELA CEPERO ROQUE
Provider Business Mailing Address
First Line : 17361 SW 18TH ST
Second Line :
City : MIRAMAR
State : FL
Zip : 33029-5530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 750 E 25TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33013-3817
Country : US
Telephone Number : 305-694-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ ANA GABRIELA CEPERO ROQUE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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