Dr. Ivan A Cerezo De La Rosa, MD
General Practice in San Juan, Puerto Rico
1245290956- Practice location
- Ave. Ponce De Leon 804, Suite 304 Miramar, San Juan, PR 00907
- Phone
- 787-722-6746
- Fax
- 787-725-6207
- Last updated
- November 18, 2009
Ivan A. Cerezo De La Rosa is a General Practice based in San Juan, PR. Ivan A. Cerezo De La Rosa practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Ivan A. Cerezo De La Rosa is 1245290956 and holds a License No. 9816 (PR). The current practice location address for Ivan A. Cerezo De La Rosa is Ave. Ponce De Leon 804, Suite 304 Miramar, San Juan, PR 00907 and can be reached out via phone at 787-722-6746 and via fax at 787-725-6207.
Provider Profile Details
- NPI Number
- 1245290956
- Provider Name
- Ivan A. Cerezo De La Rosa
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Ave. Ponce De Leon 804, Suite 304 Miramar, San Juan, PR 00907
- Phone Number
- 787-722-6746
- Fax Number
- 787-725-6207
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 25, 2006
- Last Update Date
- November 18, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Ave. Ponce De Leon 804
Suite 304 Miramar
San Juan, PR 00907 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00907
- Phone Number
- 787-722-6746
- Fax Number
- 787-725-6207
Provider Business Mailing Address Details
- Address
- Ave. Ponce De Leon 804
Suite 304 Miramar
San Juan, PR 00907 - City
- San Juan
- State
- PR
- Zip
- 00907
- Phone Number
- 787-722-6746
- Fax Number
- 787-725-6207
License Information
- License Number
- 9816
- License State
- PR
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Ivan A Cerezo De La Rosa, MD?
The NPI number of Dr. Ivan A Cerezo De La Rosa, MD is 1245290956. It was assigned on March 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Ivan A Cerezo De La Rosa, MD?
Dr. Ivan A Cerezo De La Rosa, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 9816.
Where does Dr. Ivan A Cerezo De La Rosa, MD practice?
The practice location is Ave. Ponce De Leon 804, Suite 304 Miramar, San Juan, PR 00907. The office can be reached at 787-722-6746 (phone) or 787-725-6207 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245290956 directly on the NPPES registry website.