Corretjer Russi, Cesar

Corretjer Russi, Cesar is an individual health care provider with primary practice located at 1580 Santa Barbara Blvd , The Villages FL 32159-6827. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Corretjer Russi, Cesar can be contacted via phone (352) 259-2159.

Contact Information

Primary practice address
1580 Santa Barbara Blvd The Villages FL 32159-6827
Fax: (352) 259-5731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16908 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN904 Florida

Profile Details

NPI number 1164619367
LBN Legal business name Corretjer Russi, Cesar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Apr 9th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164619367 NPPES
Florida MEDICAID 020454200
Florida Other W7PZB
Florida Other IY786Z

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