Provider Demographics
NPI:1265790984
Name:CESPEDES, CHRISTIAN FRANCISCO (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:FRANCISCO
Last Name:CESPEDES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:MR
Other - First Name:CHRISTIAN
Other - Middle Name:BERNARDO
Other - Last Name:RUBIO-CESPEDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2507 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6368
Mailing Address - Country:US
Mailing Address - Phone:571-242-0483
Mailing Address - Fax:
Practice Address - Street 1:WAKE FOREST UNIVERSITY, MEDICAL CENTER BLVD
Practice Address - Street 2:PSYCHIATRY AND BEHAVIORAL MEDICINE
Practice Address - City:WINSTON-SALEM
Practice Address - State:VA
Practice Address - Zip Code:27157-1087
Practice Address - Country:US
Practice Address - Phone:571-242-0483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1922091271OtherWAKE FOREST MEDICAL CENTER