Provider Demographics
NPI:1114794401
Name:CESPEDES, CESAR (OTR, OTD, MSRS)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:
Last Name:CESPEDES
Suffix:
Gender:M
Credentials:OTR, OTD, MSRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 NANTUCKET DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3567
Mailing Address - Country:US
Mailing Address - Phone:956-656-0308
Mailing Address - Fax:
Practice Address - Street 1:2121 PEASE ST STE 103
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8971
Practice Address - Country:US
Practice Address - Phone:956-389-2323
Practice Address - Fax:956-389-2316
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109528225XH1200X, 225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand