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NPI Code Detail

MEDICARE: DR. LUIS ROBERTO CANAS MD

MEDICARE:  DR. LUIS ROBERTO CANAS  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
1207R00000XInternal Medicine Physician5047PR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
426061OTHERPRMEDICARE PTAN
5400012OTHERPRMEDICARE Y MUCHO MAS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16090029OTHERPRHUMANA
226061OTHERPRTRIPLE S
3M0247OTHERPRPLAN MENONITA
6063965OTHERPRLA CRUZ AZUL DE P.R.

General Provider Information

NPI Number : 1790780914
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUIS ROBERTO CANAS MD
Provider Business Mailing Address
First Line : PO BOX 2000
Second Line :
City : AIBONITO
State : PR
Zip : 00705-2000
Country : US
Telephone Number : 787-638-0246
Fax Number : 787-735-2268
Provider Business Practice Location Address
First Line : 38C CALLE 1
Second Line : VILLA ROSALES
City : AIBONITO
State : PR
Zip : 00705
Country : US
Telephone Number : 787-735-7859
Fax Number : 787-954-7501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 09/10/2024

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Directions to “ DR. LUIS ROBERTO CANAS MD” Practice Location

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