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NPI Code Detail

MEDICARE: ANTULIO CASIANO SOSA MD

MEDICARE:   ANTULIO  CASIANO SOSA  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
1207Q00000XFamily Medicine Physician8034PR

General Provider Information

NPI Number : 1215934260
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTULIO CASIANO SOSA MD
Provider Business Mailing Address
First Line : PO BOX 1229
Second Line :
City : JUNCOS
State : PR
Zip : 00777-1229
Country : US
Telephone Number : 787-750-1250
Fax Number : 787-750-1250
Provider Business Practice Location Address
First Line : CARR 185 KM 15.5
Second Line : BO. CEDROS
City : CANOVANAS
State : PR
Zip : 00729
Country : US
Telephone Number : 787-750-1250
Fax Number : 787-750-1250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2005
Last Update Date : 04/06/2011

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Directions to “ ANTULIO CASIANO SOSA MD” Practice Location

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