Provider Demographics
NPI:1477086544
Name:SAROSA CEPERO, BARBARO RAIMIS (MSN, APRN, FNP)
Entity Type:Individual
Prefix:
First Name:BARBARO
Middle Name:RAIMIS
Last Name:SAROSA CEPERO
Suffix:
Gender:M
Credentials:MSN, APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9360 FONTAINEBLEAU BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5600
Mailing Address - Country:US
Mailing Address - Phone:305-562-6727
Mailing Address - Fax:
Practice Address - Street 1:14601 SW 29TH ST STE 209
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4715
Practice Address - Country:US
Practice Address - Phone:954-436-8036
Practice Address - Fax:954-217-4006
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9293729363LP0808X
FLARNP9293729363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health