Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roger Benjamin Cisneros, MD

Individual provider Family Medicine Physician · NPI 1477101764

Roger Benjamin Cisneros, MD is a Family Practice in Clearwater, Florida. Qualified in 2002, 24 years ago. Practices with Dedicated Senior Medical Center of Florida, LLC, a 56-clinician group and accepts Medicare assignment. Licensed in Florida and Utah.

Years since qualifying
24
Licensed in
FL, UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

855 S Highland Ave
Clearwater, FL 33756-4446
Phone: (727) 219-1833
Fax: (727) 298-8794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME142324 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11422103-1205 (UT)

Record details

NPI number1477101764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2019
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019
Mailing address1395 Nw 167th St, Miami Gardens, FL 33169-5710

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Dedicated Senior Medical Center Of Florida, Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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