MEDICARE: SUSANA M CEDENO MA

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	247000000X	Health Information Technician	MA 53469	FL
2	224Z00000X	Occupational Therapy Assistant	OTA14150	FL

General Provider Information

NPI Number	:	1851525513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSANA M CEDENO MA

Provider Business Mailing Address
First Line	:	3481 NW 34TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-5746
Country	:	US
Telephone Number	:	786-553-3150
Fax Number	:	786-422-2422

Provider Business Practice Location Address
First Line	:	3481 NW 34TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-5746
Country	:	US
Telephone Number	:	786-553-3150
Fax Number	:	305-422-2422

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

Provider Enumeration Date	:	05/11/2009
Last Update Date	:	08/03/2021

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Directions to “ SUSANA M CEDENO MA” Practice Location

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