Provider Demographics
NPI:1720268915
Name:CEREFI CORP
Entity Type:Organization
Organization Name:CEREFI CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:M
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-672-8406
Mailing Address - Street 1:HC 04
Mailing Address - Street 2:BOX 5744
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971
Mailing Address - Country:US
Mailing Address - Phone:787-672-8406
Mailing Address - Fax:
Practice Address - Street 1:PLAZA KAROMA # 148
Practice Address - Street 2:FELIX CORDOVA DAVILA SUITE 9
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5956
Practice Address - Country:US
Practice Address - Phone:787-854-1479
Practice Address - Fax:787-854-1124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty