Provider Demographics
NPI:1336318096
Name:CESTERO, HERMAN J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HERMAN
Middle Name:J
Last Name:CESTERO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:251 CALLE CHILE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-2104
Mailing Address - Country:US
Mailing Address - Phone:787-550-4940
Mailing Address - Fax:787-727-1945
Practice Address - Street 1:COND PLAZA DEL MAR
Practice Address - Street 2:3001 AVE ISLA VERDE APT 2004
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-4905
Practice Address - Country:US
Practice Address - Phone:787-550-4940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003386208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery