Provider Demographics
NPI:1932159043
Name:CONDE, CESAR A (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:A
Last Name:CONDE
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 1:4302 ALTON RD STE 750
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2893
Mailing Address - Country:US
Mailing Address - Phone:305-534-4564
Mailing Address - Fax:305-534-6678
Practice Address - Street 1:4302 ALTON RD STE 750
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2893
Practice Address - Country:US
Practice Address - Phone:305-534-4564
Practice Address - Fax:305-534-6678
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0021245207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL91966Medicare ID - Type Unspecified
FLD59881Medicare UPIN