Healthcare Provider Details

I. General information

NPI: 1689633398
Provider Name (Legal Business Name): MARIA P CASADO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1462 AUGUSTO RODRIGUEZ HOSPITAL PAVIA
SANTURCE PR
00910-1137
US

IV. Provider business mailing address

PO BOX 3916
GUAYNABO PR
00970-3916
US

V. Phone/Fax

Practice location:
  • Phone: 787-727-6060
  • Fax: 787-758-8519
Mailing address:
  • Phone: 787-999-0753
  • Fax: 787-999-0790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number9711
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: