Provider Demographics
NPI:1285986455
Name:CEPERO, ALEJANDRO G (RRT)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:G
Last Name:CEPERO
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 JOHNSON ST APT 206
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-3945
Mailing Address - Country:US
Mailing Address - Phone:754-204-4637
Mailing Address - Fax:
Practice Address - Street 1:2420 JOHNSON ST APT 206
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-3945
Practice Address - Country:US
Practice Address - Phone:754-204-4637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT11706227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered