Provider Demographics
NPI:1134487945
Name:CERRA-FRANCO, JAVIER ANTONIO (MD)
Entity Type:Individual
Prefix:
First Name:JAVIER
Middle Name:ANTONIO
Last Name:CERRA-FRANCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTRO MEDICO MENONITA DE CAYEY
Mailing Address - Street 2:EDIFICIO PROFESIONAL SUITE 205
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737
Mailing Address - Country:US
Mailing Address - Phone:787-432-7663
Mailing Address - Fax:
Practice Address - Street 1:CENTRO COMPRENSIVO DE CANCER DE PUERTO RICO
Practice Address - Street 2:AVE KIKO CUSTODIO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-936-1477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19930207RG0100X, 207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine