Provider Demographics
NPI:1457400442
Name:ALCERA, ROSARIO CORTEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSARIO
Middle Name:CORTEZ
Last Name:ALCERA
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 1:1306 WHALING AVE SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-6559
Mailing Address - Country:US
Mailing Address - Phone:609-280-6501
Mailing Address - Fax:321-220-0570
Practice Address - Street 1:1306 WHALING AVE SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-6559
Practice Address - Country:US
Practice Address - Phone:609-280-6501
Practice Address - Fax:321-220-0570
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00630242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252350700Medicaid
FL41283OtherBLUE CROSS BLUE SHEILD
FL252350700Medicaid
FL41283OtherBLUE CROSS BLUE SHEILD