Provider Demographics
NPI:1932492139
Name:CEDENO RODRIGUEZ, ALEX RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:RAFAEL
Last Name:CEDENO RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:CENTRO CARDIOVASCULAR SUITE 7
Mailing Address - Street 2:PO BOX 366528
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936
Mailing Address - Country:US
Mailing Address - Phone:787-281-0122
Mailing Address - Fax:
Practice Address - Street 1:356 AVE. AMERICO MIRANDA
Practice Address - Street 2:SUITE 7 PRIMER PISO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-5147
Practice Address - Country:US
Practice Address - Phone:787-281-0122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-158732208G00000X
NY294087208G00000X
PR19278208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)