Healthcare Provider Details

I. General information

NPI: 1487593729
Provider Name (Legal Business Name): DANIEL CANCIO AMADEO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KM 8.3 CALLE 3, AV. 65 DE INFANTERIA
CAROLINA PR
00984
US

IV. Provider business mailing address

PO BOX 190309
SAN JUAN PR
00919-0309
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-1800
  • Fax:
Mailing address:
  • Phone: 787-506-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL ENRIQUE CANCIO-AMADEO
Title or Position: OWNER AND MEMBER
Credential: MD
Phone: 787-506-4600