Healthcare Provider Details

I. General information

NPI: 1215974027
Provider Name (Legal Business Name): RAMON E CAO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 04/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 AVE PONCE DE LEON TORRE MEDICA AUXILIO MUTUO OFIC 704
SAN JUAN PR
00917
US

IV. Provider business mailing address

PO BOX 195095
SAN JUAN PR
00919-5095
US

V. Phone/Fax

Practice location:
  • Phone: 787-379-6786
  • Fax: 787-767-6138
Mailing address:
  • Phone: 787-379-6786
  • Fax: 787-767-6138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0061359
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number15812
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: