Provider Demographics
NPI:1871388223
Name:SACERIO, ABEL R
Entity type:Individual
Prefix:
First Name:ABEL
Middle Name:R
Last Name:SACERIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4487 W 58TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44144-2924
Mailing Address - Country:US
Mailing Address - Phone:216-609-5889
Mailing Address - Fax:
Practice Address - Street 1:4487 W 58TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44144-2924
Practice Address - Country:US
Practice Address - Phone:216-609-5889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion