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DR. IVAN A. CEREZO DE LA ROSA MD
NPI 1245290956
General Practice in San Juan, PR

Active since March 25, 2006PECOS Enrolled
AVE. PONCE DE LEON 804, SUITE 304 MIRAMAR, SAN JUAN, PR 00907(787) 722-6746(787) 725-6207 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ivan A. Cerezo De La Rosa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IVAN A. CEREZO DE LA ROSA MD (NPI 1245290956) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (9816) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245290956
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. IVAN A. CEREZO DE LA ROSACredential: MD
Location AddressAVE. PONCE DE LEON 804, SUITE 304 MIRAMARSan Juan, PR 00907
Mailing AddressAve. Ponce De Leon 804, Suite 304 MiramarSan Juan, PR 00907 · (787) 722-6746 · Fax (787) 725-6207
Phone(787) 722-6746
Fax(787) 725-6207
Sole ProprietorYes
Enumeration DateMarch 25, 2006
Last NPPES UpdateNovember 18, 2009
✔ NPI 1245290956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 9816
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
AVE. PONCE DE LEON 804, San Juan, PR 00907
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Other Identifiers 2

Medicare PINCC197APR
Medicare UPINE81957

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivan A. Cerezo De La Rosa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Cerezo De La Rosa's NPI number?

The NPI number for Ivan Cerezo De La Rosa is 1245290956. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Ivan Cerezo De La Rosa located?

Ivan Cerezo De La Rosa practices at Ave. Ponce De Leon 804 Suite 304 Miramar, San Juan, PR 00907. The listed phone number is (787) 722-6746.

What is Ivan Cerezo De La Rosa's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ivan Cerezo De La Rosa enrolled in Medicare?

Yes. Ivan Cerezo De La Rosa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivan Cerezo De La Rosa was last updated on November 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.