| NPI | 1760724645 |
|---|---|
| Doing Business As | IVAN CEREZO DE LA ROSA |
| Entity Type | Organization |
| Authorized Contact | PALMIRA RUIZ Secretary 787-780-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 522463) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-05-07 |