Provider Demographics
NPI:1578549440
Name:ALEGRE, CESAR AUGUSTO (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:AUGUSTO
Last Name:ALEGRE
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 1:7707 N. UNIVERSITY DR
Mailing Address - Street 2:#204
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321
Mailing Address - Country:US
Mailing Address - Phone:954-721-3399
Mailing Address - Fax:954-721-8289
Practice Address - Street 1:7707 N. UNIVERSITY DR
Practice Address - Street 2:#204
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2966
Practice Address - Country:US
Practice Address - Phone:954-721-3399
Practice Address - Fax:954-721-8289
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0035283174400000X
FLME35283174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL039620600Medicaid
FL79516Medicare UPIN
FLB73527Medicare UPIN
FLB79516Medicare ID - Type Unspecified