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IVAN CEREZO M.D.

Cardiovascular Disease >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1578607776

Individual Registrant:
 IVAN  CEREZO M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
52 CALLE PALMER  TOA ALTA, PR 00953-2428 US
Tel: 787-870-5382  Fax: --

Contact information for business:
772 CALLE MAR NEGRO LOS CORALES II DORADO, PR 00646-4546 US
Tel: 787-390-7771  Fax: --

Registration Information:
NPI: 1578607776
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RC0000XAllopathic & Osteopathic Physicians
Internal Medicine
Cardiovascular Disease
PR16645

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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