# CENTRO DE VACUNACION DE GUAYNABO

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

## Provider details

- **NPI number:** 1891916060
- **Authorized official:** DR. IVAN A CEREZO M.D. (PROPIETEARIO)
- **Authorized official phone:** (787) 287-7973

## Contact information

- **Practice address:** 70 CALLE CARAZO, GUAYNABO PUEBLO, GUAYNABO, PR 00969-5606
- **Practice address phone:** (787) 287-7973
- **Practice address fax:** (787) 287-7973
- **Mailing address:** 70 CALLE CARAZO, GUAYNABO, PR 00969-5606
- **Mailing address phone:** (787) 287-7973
- **Mailing address fax:** (787) 287-7973

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/07/2008