MEDICARE: DR. JUAN CASTANER 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
1	207VM0101X	Maternal & Fetal Medicine Physician	11250	PR

General Provider Information

NPI Number	:	1669477642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN CASTANER M.D.

Provider Business Mailing Address
First Line	:	29 WASHINGTON STREET
Second Line	:	SUITE 207 ASHFORD MEDICAL CENTER
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1509
Country	:	US
Telephone Number	:	787-725-6750
Fax Number	:	787-723-8854

Provider Business Practice Location Address
First Line	:	29 WASHINGTON STREET
Second Line	:	SUITE 207 ASHFORD MEDICAL CENTER
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1509
Country	:	US
Telephone Number	:	787-725-6750
Fax Number	:	787-723-8854

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	12/01/2010

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