Organization
I & C PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN CEREZO MD (PRESIDENT)
(787) 390-7771
Entity
Organization
Contact information
Practice address
772 CALLE MAR NEGRO, PASEOS LOS CORALES II, DORADO, PR 00646-4546
(787) 390-7771
Mailing address
772 CALLE MAR NEGRO, PASEOS LOS CORALES II, DORADO, PR 00646-4546
(787) 390-7771
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
16645
PR
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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