Individual
CESAR A DETRES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 349 KM 2.4 CERRO LAS MASAS, HOSPITAL BELLA VISTA, MAYAGUEZ, PR 00680
(787) 832-1585
(787) 883-2158
Mailing address
PO BOX 6450 M, MAYAGUEZ, PR 00681-6450
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3749
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060051
LA CRUZ AZUL DE PUERTO RI
—
01
—
2458A
PREFERREED MEDICARE CHOIC
—
01
—
26657
SEGUROS DE SERVICIOS DE S
—
01
—
601074
MEDICARE Y MUCHO MAS
—
01
—
6605753521
MEDICAL CARD SYSTEMS INC
—
Enumeration date
01/18/2006
Last updated
07/08/2007
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