Male or Other

Mario Cisneros

Hospitalist Physician in Jacksonville, FL(View on Map)

Full Name

Mario Cisneros

NPI Number

1831584473

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/31/2015

Specialties

(Taxonomies)

Code

208M00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Minnesota

License Number

OS15211
70064

Contact
Information

Purpose

Mailing
Location

Address

SSB-6
653 W 8TH ST # L18

City

Duluth
Jacksonville

State

MN
FL

Postal Code

55805-1951
32209-6511

Country

US
US

Telephone Number

(218) 786-8364
(904) 244-3907

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/27/2021

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