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Individual

DR. AURA MARIA CISNEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
2814 14TH AVE SE, RUSKIN HEALTH CENTER, RUSKIN, FL 33570
(813) 349-7834
(813) 349-7861
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7568
(813) 349-7561

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2486
PR
1223G0001X
General Practice Dentistry
Primary
DN19315
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043023
INS. CO. CRUZ AZUL
PR
01
206476
INS. CO. UTI
PR
01
42473
INSURANCE COMPANY SSS
PR
01
9790040
INS. CO. HUMANA
PR
Enumeration date
06/16/2005
Last updated
11/29/2011
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