MEDICARE: REMEDIOS SENORA ALCERA-POE 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	208000000X	Pediatrics Physician	40568	WI

General Provider Information

NPI Number	:	1891799284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REMEDIOS SENORA ALCERA-POE M.D.

Provider Business Mailing Address
First Line	:	2727 W CLEVELAND AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-2908
Country	:	US
Telephone Number	:	414-384-9880
Fax Number	:	414-384-0134

Provider Business Practice Location Address
First Line	:	2727 W CLEVELAND AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-2908
Country	:	US
Telephone Number	:	414-384-9880
Fax Number	:	414-384-0134

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	08/15/2011

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