Provider Demographics
NPI:1194163477
Name:CEPERO, GERTRUDIS DE LA CARIDAD (MSW)
Entity type:Individual
Prefix:MRS
First Name:GERTRUDIS
Middle Name:DE LA CARIDAD
Last Name:CEPERO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 SE 2ND PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5405
Mailing Address - Country:US
Mailing Address - Phone:786-333-8727
Mailing Address - Fax:
Practice Address - Street 1:751 SE 2ND PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5405
Practice Address - Country:US
Practice Address - Phone:786-333-8727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator