MEDICARE: CESAR LLANERA JR MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207L00000X	Anesthesiology Physician
2	208VP0000X	Pain Medicine Physician
3	208VP0014X	Interventional Pain Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DE0446	OTHER	FL	MEDICARE RAILROAD

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881678332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CESAR LLANERA JR MD PA

Provider Business Mailing Address
First Line	:	PO BOX 30027
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-1027
Country	:	US
Telephone Number	:	850-477-5610
Fax Number	:	850-477-8319

Provider Business Practice Location Address
First Line	:	545 BRENT LN
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2003
Country	:	US
Telephone Number	:	850-477-5610
Fax Number	:	850-477-8319

Authorized Official
Title or Position	:	OWNER
Name	:	CESAR L. LLANERA
Credential	:	MD
Telephone Number	:	850-477-5610

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	10/31/2019

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Directions to “CESAR LLANERA JR MD PA ” Practice Location

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