Provider Demographics
NPI:1821825258
Name:BORGES PRADO, CESAR
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:
Last Name:BORGES PRADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8590 BAROT DR APT 103
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-9570
Mailing Address - Country:US
Mailing Address - Phone:239-315-2967
Mailing Address - Fax:
Practice Address - Street 1:8590 BAROT DR APT 103
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-9570
Practice Address - Country:US
Practice Address - Phone:239-315-2967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician