ROGER BENJAMIN CISNEROS

CLEARWATER, FL
NPI1477101764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME142324)
Additional Taxonomies207Q00000X Family Medicine
(Licence: UT  11422103-1205)
Enumeration Date2019-08-29
Last Update Date2019-12-19
Business Address
ROGER BENJAMIN CISNEROS MD
855 S HIGHLAND AVE
CLEARWATER, FL 33756-4446
Phone number: 727-219-1833
Mailing Address
ROGER BENJAMIN CISNEROS MD
1395 NW 167TH ST
MIAMI GARDENS, FL 33169-5710
Phone number: 727-219-1833