MEDICARE: DR. EDUARDO IGNACIO CANTO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	15850	PR
2	208800000X	Urology Physician	ME94110	FL

General Provider Information

NPI Number	:	1366425506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARDO IGNACIO CANTO MD

Provider Business Mailing Address
First Line	:	1353 AVE LUIS VIGOREAUX
Second Line	:	PMB 190
City	:	GUAYNABO
State	:	PR
Zip	:	00966-2715
Country	:	US
Telephone Number	:	787-725-6278
Fax Number	:	787-721-2242

Provider Business Practice Location Address
First Line	:	29 CALLE WASHINGTON
Second Line	:	STE 109
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1509
Country	:	US
Telephone Number	:	787-667-6613
Fax Number	:	787-722-5695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	07/30/2018

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