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NPI Code Detail

MEDICARE: DR. CLINIO CESAR CERRUD D.D.S.,M.S.D.

MEDICARE: DR. CLINIO CESAR CERRUD D.D.S.,M.S.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
11223E0200XEndodonticsDN14544FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DN14544OTHERFLDENTAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629184676
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLINIO CESAR CERRUD D.D.S.,M.S.D.
Provider Business Mailing Address
First Line : 5607 NW 27TH AVE
Second Line : SUITE 1
City : MIAMI
State : FL
Zip : 33142-2826
Country : US
Telephone Number : 305-805-1700
Fax Number : 305-805-1715
Provider Business Practice Location Address
First Line : 5607 NW 27TH AVE
Second Line : SUITE 2
City : MIAMI
State : FL
Zip : 33142-2826
Country : US
Telephone Number : 305-636-3336
Fax Number : 305-805-1715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 04/11/2017

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