Individual
DR. IVAN A. CEREZO DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AVE. PONCE DE LEON 804, SUITE 304 MIRAMAR, SAN JUAN, PR 00907
(787) 722-6746
(787) 725-6207
Mailing address
AVE. PONCE DE LEON 804, SUITE 304 MIRAMAR, SAN JUAN, PR 00907
(787) 722-6746
(787) 725-6207
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9816
PR
Other
Enumeration date
03/25/2006
Last updated
11/18/2009
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