NPIMap

Organization Active NPI

Centro de Vacunacion de Catano

  • Clinic/Center
  • Catano, PR
National Provider Identifier
1962614842
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 CATANO
Practice address
Calle Barbosa
Esq San Lorenzo 63
Catano, PR 00963
Phone
(787) 788-4567
Fax
(787) 870-1324
NPI assigned
May 4, 2007
Last updated
Aug 7, 2008By the provider in NPPES
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
Propietario
Phone
(787) 287-7973

Specialties & licenses 1

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

Addresses

Primary practice location

Calle Barbosa
Esq San Lorenzo 63
Catano, PR 00963

Mailing address

Calle Barbosa Esq San Lorenzo Numero 63
Catano, PR 00963
Phone (787) 788-4567

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1962614842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE BARBOSA ESQ SAN LORENZO NUMERO 63",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "00963",
            "telephone_number": "787-788-4567",
            "fax_number": "787-870-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARBOSA",
            "address_2": "ESQ SAN LORENZO 63",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "00963",
            "telephone_number": "787-788-4567",
            "fax_number": "787-870-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE VACUNACION DE CATANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "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": "PROPIETARIO",
        "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 Catano, 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.