Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | OS8693 | FL |
NPI | 1013917277 |
---|---|
Provider Name | Dr. Rui Paulo Cerejo |
First Address | Boynton Beach, FL 33437-3500 |
Second Address | Palm Beach Gardens, FL 33418-3799 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 31/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H73292 | (02) | FL |