Provider Demographics
NPI:1891799284
Name:ALCERA-POE, REMEDIOS SENORA (MD)
Entity Type:Individual
Prefix:
First Name:REMEDIOS
Middle Name:SENORA
Last Name:ALCERA-POE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 W CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-2908
Mailing Address - Country:US
Mailing Address - Phone:414-384-9880
Mailing Address - Fax:414-384-0134
Practice Address - Street 1:2727 W CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-2908
Practice Address - Country:US
Practice Address - Phone:414-384-9880
Practice Address - Fax:414-384-0134
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI40568208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics