Provider Demographics
NPI:1063402410
Name:CERRA, FRANCISCO JAVIER (MD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:CERRA
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 1:7106 CALLE DIVINA PROVIDENCIA
Mailing Address - Street 2:URB SANTA MARIA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1019
Mailing Address - Country:US
Mailing Address - Phone:787-840-9170
Mailing Address - Fax:787-848-3039
Practice Address - Street 1:7106 CALLE DIVINA PROVIDENCIA
Practice Address - Street 2:URB SANTA MARIA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1019
Practice Address - Country:US
Practice Address - Phone:787-840-9170
Practice Address - Fax:787-848-3039
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7491208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE31522Medicare UPIN
PR0028902Medicare ID - Type UnspecifiedPROVIDER NUMBER