MEDICARE: DR. ROSARIO CORTEZ ALCERA M.D.

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	2084P0800X	Psychiatry Physician	ME0063024	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
2	41283	OTHER	FL	BLUE CROSS BLUE SHEILD

General Provider Information

NPI Number	:	1457400442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSARIO CORTEZ ALCERA M.D.

Provider Business Mailing Address
First Line	:	1306 WHALING AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-6559
Country	:	US
Telephone Number	:	609-280-6501
Fax Number	:	321-220-0570

Provider Business Practice Location Address
First Line	:	1306 WHALING AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-6559
Country	:	US
Telephone Number	:	609-280-6501
Fax Number	:	321-220-0570

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	08/07/2015

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