Healthcare Provider Details

I. General information

NPI: 1962077081
Provider Name (Legal Business Name): GERARDO FRANCISCO CERRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO MEDICO DE PUERTO RICO BARRIO MONACILLOS
SAN JUAN PR
00935-0001
US

IV. Provider business mailing address

BARRIO MONACILLOS
SAN JUAN PR
00935-0001
US

V. Phone/Fax

Practice location:
  • Phone: 787-850-1319
  • Fax:
Mailing address:
  • Phone: 787-850-1319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number23916
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: