MEDICARE: KARINA J CANCEL ARTAU 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	207N00000X	Dermatology Physician	22728	PR
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208D00000X	General Practice Physician	35735	PR

General Provider Information

NPI Number	:	1942717921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARINA J CANCEL ARTAU MD

Provider Business Mailing Address
First Line	:	6 COND CARRION COURT PLAYA
Second Line	:	APT. 102
City	:	SAN JUAN
State	:	PR
Zip	:	00911
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 CALLE 42 SE # 1012
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-2761
Country	:	US
Telephone Number	:	787-758-7910
Fax Number	:

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

Provider Enumeration Date	:	12/29/2017
Last Update Date	:	10/10/2025

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