# CENTRO DE VACUNACION DE TOA ALTA

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

## Provider details

- **NPI number:** 1760694350
- **Authorized official:** DR. IVAN A CEREZO MD (PROPIETARIO)
- **Authorized official phone:** (787) 870-7501

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 9816 | PR | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 07/01/2008