# DR GUSTAVO CEDENO QUINTERO PSC

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

## Provider details

- **NPI number:** 1255932752
- **Authorized official:** DR. GUSTAVO CEDENO QUINTERO MD (PRESIDENT)
- **Authorized official phone:** (787) 484-5103

## Contact information

- **Practice address:** 58 CALLE EDUARDO GEORGETTI, VEGA ALTA, PR 00692-7096
- **Practice address phone:** (787) 484-5103
- **Mailing address:** PO BOX 3022, VEGA ALTA, PR 00692-3022
- **Mailing address phone:** (787) 484-5103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2020
- **Last updated:** 11/03/2020