I & C PSC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

16645 Issued in PR

Legal business name

I & C PSC

Practice address

772 Calle Mar Negro
Paseos Los Corales II
Dorado, PR 00646-4546

Phone

(787) 390-7771

NPI assigned

Jun 17, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ivan Cerezo, MDNPI 1578607776

Title

President

Phone

(787) 390-7771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan Cerezo, M.D.

  • Cardiovascular Disease Physician
  • Dorado, PR
  • NPI 1578607776
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1003220153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 CALLE MAR NEGRO",
            "address_2": "PASEOS LOS CORALES II",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464546",
            "telephone_number": "787-390-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 CALLE MAR NEGRO",
            "address_2": "PASEOS LOS CORALES II",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464546",
            "telephone_number": "787-390-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I & C PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "CEREZO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-390-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "16645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Hernandez-Valentin, M.D.
• Nicole Hernandez
• Juan Hidalgo
• Hope & Preventive Health PSC
• Hpi LLC
• Innova Psychological Group, LLC
• Innovativo Psycoeducational & Consulting Services Corp
• Integracare
• J&F Optical Service Incorporated
• JDM Medical Solution Inc

• Cardiovascular Disease Physician in Dorado, PR
• Providers in Dorado, PR by specialty
• Cardiovascular Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.