# CERVONI MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235959966
- **Authorized official:** DR. BRIAN MANUEL CERVONI ROSARIO MD (PRESIDENT)
- **Authorized official phone:** (939) 397-6278

## Contact information

- **Practice address:** 5-106 CALLE SANTA CRUZ, SANTA ROSA, BAYAMON, PR 00959
- **Practice address phone:** (939) 397-6278
- **Mailing address:** URB EL DORADO \#C3 CALLE B, SAN JUAN, PR 00926
- **Mailing address phone:** (939) 397-6278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2024
- **Last updated:** 10/18/2024