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1245290956
IVAN A. CEREZO DE LA ROSA
SAN JUAN, PR
NPI
1245290956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 9816)
Enumeration Date
2006-03-25
Last Update Date
2009-11-18
Business Address
Dr. IVAN A. CEREZO DE LA ROSA MD
AVE. PONCE DE LEON 804 SUITE 304 MIRAMAR
SAN JUAN, PR 00907
Phone number: 787-722-6746
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Mailing Address
Dr. IVAN A. CEREZO DE LA ROSA MD
AVE. PONCE DE LEON 804 SUITE 304 MIRAMAR
SAN JUAN, PR 00907
Phone number: 787-722-6746
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