Organization
CENTRO DE VACUNACION DE GUAYNABO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN A CEREZO M.D. (PROPIETEARIO)
(787) 287-7973
Entity
Organization
Contact information
Practice address
70 CALLE CARAZO, GUAYNABO PUEBLO, GUAYNABO, PR 00969-5606
(787) 287-7973
(787) 287-7973
Mailing address
70 CALLE CARAZO, GUAYNABO, PR 00969-5606
(787) 287-7973
(787) 287-7973
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9816
PR
Other
Enumeration date
05/02/2007
Last updated
08/07/2008
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