Organization
CENTRO DE VACUNACION VEGA BAJA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN A CEREZO M.D (DOCTOR)
(787) 855-0031
Entity
Organization
Contact information
Practice address
2 AVE. #107 OFFICE, WILMA N. VAZQUEZ, VEGA BAJA, PR 00693
(787) 855-0031
Mailing address
52 CALLE PALMER, TOA ALTA, PR 00953-2428
(787) 855-0031
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9816
PR
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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