Provider Demographics
NPI:1346787959
Name:DEL CERRO, ALEJANDRO RAFAEL I (SURGICAL ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:ALEJANDRO
Middle Name:RAFAEL
Last Name:DEL CERRO
Suffix:I
Gender:M
Credentials:SURGICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10315 WESTERN AVE
Mailing Address - Street 2:APT B-2
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-2466
Mailing Address - Country:US
Mailing Address - Phone:562-658-9787
Mailing Address - Fax:
Practice Address - Street 1:10315 WESTERN AVE
Practice Address - Street 2:APT B-2
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-2466
Practice Address - Country:US
Practice Address - Phone:562-658-9787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-21
Last Update Date:2017-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116792246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA99893779F35341OtherMEDICAL