Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | ME-0041185 | FL |
NPI | 1063421352 |
---|---|
Provider Name | Dr. Anselmo Ernesto Cepero-Akselrad |
First Address | Coral Gables, FL 33146-2423 |
Second Address | South Miami, FL 33143-4829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
064218500 | (05) | FL |
E60437 | (02) | FL |