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Organization

CENTRO DE VACUNACION DE TOA ALTA

Active
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Organization

CENTRO DE VACUNACION DE TOA ALTA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IVAN A CEREZO MD (PROPIETARIO)
(787) 870-7501
Entity
Organization

Contact information

Practice address
52 CALLE PALMER, TOA ALTA, PR 00953-2428
(787) 870-7501
(787) 870-1324
Mailing address
52 CALLE PALMER, TOA ALTA, PR 00953-2428
(787) 870-7501
(787) 870-1324

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9816
PR

Other

Enumeration date
05/04/2007
Last updated
07/01/2008
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