Individual
MARIO CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
653 W 8TH ST # L18, JACKSONVILLE, FL 32209-6511
(904) 244-3907
Mailing address
SSB-6, 400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
70064
MN
208M00000X
Hospitalist Physician
OS15211
FL
Other
Enumeration date
03/31/2015
Last updated
09/27/2021
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