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NPI Code Detail

MEDICARE: DR. ANDRES F MOLANO CANAL M.D

MEDICARE: DR. ANDRES F MOLANO CANAL M.D
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
1208D00000XGeneral Practice Physician19449PR
2208D00000XGeneral Practice PhysicianME132058FL

General Provider Information

NPI Number : 1417363870
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDRES F MOLANO CANAL M.D
Provider Business Mailing Address
First Line : 625 AVENIDA PONCE DE LEON EDIFICIO UNION BUILDING
Second Line : #302
City : SAN JUAN
State : PR
Zip : 00907
Country : US
Telephone Number : 818-397-0302
Fax Number :
Provider Business Practice Location Address
First Line : 18610 NW 87TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33015-3518
Country : US
Telephone Number : 305-829-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2014
Last Update Date : 11/04/2019

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Directions to “ DR. ANDRES F MOLANO CANAL M.D” Practice Location

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