Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 7491 | PR |
NPI | 1063402410 |
---|---|
Provider Name | Francisco Javier Cerra |
First Address | Ponce, PR 00717-1019 |
Second Address | Ponce, PR 00717-1019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 27/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E31522 | (02) | PR |