| Ivan Cerezo De La Rosa | |
|
Db35 Calle Damasco Urb Santa Juanita Bayamon PR 00956 | |
| (787) 780-0391 | |
| (787) 787-6403 |
| Full Name | Ivan Cerezo De La Rosa |
|---|---|
| Speciality | Clinic/center |
| Location | Db35 Calle Damasco, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Palmira Ruiz (SECRETARY) |
| Authorized Official Contact | 7877800391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Cerezo De La Rosa Db35 Calle Damasco Urb Santa Juanita Bayamon PR 00956-5313 Ph: (787) 780-0391 | Ivan Cerezo De La Rosa Db35 Calle Damasco Urb Santa Juanita Bayamon PR 00956 Ph: (787) 780-0391 |
| NPI Number | 1760724645 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760724645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 522463 (Puerto Rico) | Primary |
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