Basic Information
Provider Information
NPI: 1518178805
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RODRIGUEZ VALDES
FirstName: CESAR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 GUSTAVE L LEVY PL # 1118
Address2:  
City: NEW YORK
State: NY
PostalCode: 100296504
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 10 E 102ND ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100296030
CountryCode: US
TelephoneNumber: 2122416756
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/25/2007
LastUpdateDate: 07/21/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/21/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XBP10025666TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X2015-01890NCN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X42436KYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RT0003X2015-01890NCN Allopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology
207RX0202X312183NYY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


Home