Provider Demographics
NPI:1386829554
Name:GUERRERO, CESAR E (MD)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:E
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3661 S MIAMI AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4232
Mailing Address - Country:US
Mailing Address - Phone:305-856-9517
Mailing Address - Fax:305-856-0336
Practice Address - Street 1:3661 S MIAMI AVE STE 308
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4232
Practice Address - Country:US
Practice Address - Phone:305-856-9517
Practice Address - Fax:305-856-0336
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME003820207T00000X
FLME0033820207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL95212Medicare PIN