Active NPIIndividual providerSole proprietor

Ivan Cerezo, MD

Internal Medicine, Cardiovascular Disease in Dorado, Puerto Rico

NPI Number1578607776
Practice location
410 Calle Mendez Vigo Ste 201, Dorado, PR 00646-4801
Fax
—
Last updated
August 13, 2024

Ivan Cerezo is an Internal Medicine, Cardiovascular Disease based in Dorado, PR. Ivan Cerezo practices in Dorado, PR and has the professional credentials of MD. The NPI Number for Ivan Cerezo is 1578607776 and holds a License No. 16645 (PR). The current practice location address for Ivan Cerezo is 410 Calle Mendez Vigo Ste 201, Dorado, PR 00646-4801 and can be reached out via phone at 787-855-8055.

Provider Profile Details

NPI Number
1578607776
Provider Name
Ivan Cerezo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
410 Calle Mendez Vigo Ste 201, Dorado, PR 00646-4801
Phone Number
787-855-8055
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
Yes
Provider Enumeration Date
February 19, 2007
Last Update Date
August 13, 2024
Certification Date
August 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
410 Calle Mendez Vigo Ste 201
Dorado, PR 00646-4801
City
Dorado
Zip
00646-4801
Phone Number
787-855-8055
Dorado, PR 00646Get directions →

Provider Business Mailing Address Details

Address
Po Box 873
Dorado, PR 00646-0873
City
Dorado
State
PR
Zip
00646-0873
Phone Number
787-645-7302

License Information

License Number
16645
License State
PR
Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ivan Cerezo, MD?

The NPI number of Ivan Cerezo, MD is 1578607776. It was assigned on February 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Ivan Cerezo, MD?

Ivan Cerezo, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in PR under license number 16645.

Where does Ivan Cerezo, MD practice?

The practice location is 410 Calle Mendez Vigo Ste 201, Dorado, PR 00646-4801. The office can be reached at 787-855-8055 (phone).

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 1578607776 directly on the NPPES registry website.

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