Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | ME0054264 | FL |
NPI | 1023087921 |
---|---|
Provider Name | Dr. Rodolfo J Cepero |
First Address | South Miami, FL 33143-4718 |
Second Address | South Miami, FL 33143-4718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 06/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E79219 | (02) | FL |