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Individual

DR. CESAR REZA-TRUJILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 W 54TH ST FL 8, NEW YORK, NY 10019-3545
(212) 889-3142
Mailing address
3822 COPPER BEND RD, LAREDO, TX 78045-8440
(956) 740-7392

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
315335
NY
207L00000X
Anesthesiology Physician
L2595
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161511401
TX
05
161511403
TX
01
8K2463
BCBS
TX
01
P00111215
MEDICARE RAILROAD
TX
Enumeration date
01/30/2006
Last updated
09/01/2022
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