NPI 1003220153

I & C Psc

Organisation Cardiovascular Disease Physician Dorado, PR

Practice location

Address: 772 Calle Mar Negro Paseos Los Corales II, Dorado, PR 00646-4546
Phone: (787) 390-7771

Authorised official

Name: Ivan Cerezo
Title: President
Phone: (787) 390-7771

Registered specialties

Cardiovascular Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence 16645 (PR)

Other Internal Medicine providers in Puerto Rico →

Registry record

NPI: 1003220153
Entity type: Organization
NPI issued: 17 Jun 2014
Record last updated: 17 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.