Individual
DR. CESAR CORRETJER RUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
16908
PR
208D00000X
General Practice Physician
Primary
ACN904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020454200
—
FL
01
—
IY786Z
MEDICARE PTAN
FL
01
—
W7PZB
BCBS
FL
Enumeration date
10/02/2007
Last updated
04/09/2018
Update your record
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