NPIMap

Organization Active NPI

Centro de Vacunacion de Guaynabo

  • Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1891916060
Registry record updated Aug 7, 2008
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 DE GUAYNABO
Practice address
70 Calle Carazo
Guaynabo Pueblo
Guaynabo, PR 00969-5606
Phone
(787) 287-7973
Fax
(787) 287-7973
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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
Propieteario
Phone
(787) 287-7973

Specialties & licenses 1

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

Addresses

Primary practice location

70 Calle Carazo
Guaynabo Pueblo
Guaynabo, PR 00969-5606

Mailing address

70 Calle Carazo
Guaynabo, PR 00969-5606
Phone (787) 287-7973

National Provider Directory

National Provider Directory
Tax ID family
Centro de Vacunacion Calle Loiza Dr Cerezo4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1891916060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695606",
            "telephone_number": "787-287-7973",
            "fax_number": "787-287-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CALLE CARAZO",
            "address_2": "GUAYNABO PUEBLO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695606",
            "telephone_number": "787-287-7973",
            "fax_number": "787-287-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE VACUNACION DE GUAYNABO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "CEREZO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROPIETEARIO",
        "authorized_official_telephone_number": "787-287-7973",
        "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 Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.