Provider Demographics
NPI:1255080230
Name:ALEJANDRO DEL CERRO RONDON MD, PLLC
Entity type:Organization
Organization Name:ALEJANDRO DEL CERRO RONDON MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL CERRO RONDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-772-6804
Mailing Address - Street 1:8821 SW 136TH ST # 560665
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-5819
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8821 SW 136TH ST # 560665
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-5819
Practice Address - Country:US
Practice Address - Phone:281-772-6804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106034700Medicaid