Mark Anthony Cereceda in Coral Gables - Rehabilitation
Mark Anthony Cereceda - NPI 1720100225
Mark Anthony Cereceda is a Rehabilitation in Coral Gables, Florida. Mark Anthony Cereceda practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Mark Anthony Cereceda is 1720100225. The last update date is 2007-07-08.
Mark Anthony Cereceda's current location address is 717 Ponce De Leon Blvd, Coral Gables, Florida. You can contact this provider via phone number 3054419601 and fax number 3054419609. The mailing address for Mark Anthony Cereceda is 717 Ponce De Leon Blvd, Coral Gables, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Anthony Cereceda |
|---|---|
| Address | 717 Ponce De Leon Blvd, Coral Gables, Florida |
| Phone Number | 3054419601 |
| Fax Number | 3054419609 |
| Sole Proprietor | Y |
| Credentials | D.C., P.A. |
NPI Number Detail
| NPI Number | 1720100225 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 717 Ponce De Leon Blvd |
|---|---|
| City | Coral Gables |
| State | Florida (FL) |
| Post Code | 331342060 |
| Phone Number | 3054419601 |
| Fax Number | 3054419609 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 111Nr0400X |
| Licence No | CH 6867 |
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Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CH 6867 | FL | CHIROPRACTIC PHYSICIAN LI |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Anthony Cereceda by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Anthony Cereceda has been assigned the NPI (National Provider Identifier) 1720100225. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Mark Anthony Cereceda is physically located?
The Mark Anthony Cereceda is situated at the following address: 717 Ponce De Leon Blvd, Coral Gables, FL 331342060.
What is Mark Anthony Cereceda's area of expertise and its corresponding taxonomy classification?
The Mark Anthony Cereceda's field of specialization is Rehabilitation, and it falls under the taxonomy code 111Nr0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720100225 to Mark Anthony Cereceda?
The Centers for Medicare & Medicaid Services originally issued the 1720100225 to Mark Anthony Cereceda on 2007-04-04.
When was the information pertaining to Mark Anthony Cereceda most recently updated or revised?
The details related to Mark Anthony Cereceda, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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