Clinio Cesar Cerrud, D.D.S.,M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN14544 Issued in FL

Practice address

5607 NW 27TH Ave
Suite 2
Miami, FL 33142-2826

Phone

(305) 636-3336

Fax

(305) 805-1715

NPI assigned

Aug 22, 2006

Last updated

Apr 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1629184676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE",
            "address_2": "SUITE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-805-1700",
            "fax_number": "305-805-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE",
            "address_2": "SUITE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-636-3336",
            "fax_number": "305-805-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRUD",
        "first_name": "CLINIO",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN14544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN14544",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018124500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Cernuda, ATC/L
• Lydia C. Cerpa, LCSW
• Mauricio Cerpas, PHD
• Cosset Cerra, ISW
• Maria T Cerra
• Elizabeth Cert Alfonso, RBT
• Certified Medical Care Inc
• Certified Spine and Pain Care LLC
• Mara Mercedes Ceruto, APRN
• Osvaldo Cervantes Quesada, FNP

• Endodontics in Miami, FL
• Providers in Miami, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.