Provider Demographics
NPI:1912267410
Name:REATEGUI SANCHEZ, CESAR OMAR (MD)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:OMAR
Last Name:REATEGUI SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 SW 46TH CT STE 370
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5782
Mailing Address - Country:US
Mailing Address - Phone:352-629-1800
Mailing Address - Fax:352-629-1888
Practice Address - Street 1:4600 SW 46TH CT STE 370
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5782
Practice Address - Country:US
Practice Address - Phone:352-629-1800
Practice Address - Fax:352-629-1888
Is Sole Proprietor?:No
Enumeration Date:2012-05-18
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME152115208C00000X
MO2017012776208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery