NPIMap

Organization Active NPI

Centro de Vacunacion Vega Baja

  • Clinic/Center
  • Vega Baja, PR
National Provider Identifier
1003254582
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
9816 Issued in PR
Legal business name
CENTRO DE VACUNACION VEGA BAJA
Practice address
2 Ave. #107 Office, Wilma N. Vazquez
Vega Baja, PR 00693
Phone
(787) 855-0031
NPI assigned
Jun 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Dr. Ivan A Cerezo, M.D
Title
Doctor
Phone
(787) 855-0031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 9816 PR Primary

Addresses

Primary practice location

2 Ave. #107 Office, Wilma N. Vazquez
Vega Baja, PR 00693

Mailing address

52 Calle Palmer
Toa Alta, PR 00953-2428
Phone (787) 855-0031

National Provider Directory

National Provider Directory
Tax ID family
Centro de Vacunacion Vega Baja2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

52 Calle Palmer
Toa Alta, PR 00953
Phone (787) 870-5382

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1003254582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CALLE PALMER",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009532428",
            "telephone_number": "787-855-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AVE. #107 OFFICE, WILMA N. VAZQUEZ",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-855-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE VACUNACION VEGA BAJA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "CEREZO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-855-0031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "9816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.