MEDICARE: DR. SYLVIA D CUBANO PEREZ 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	207R00000X	Internal Medicine Physician	11499	PR

General Provider Information

NPI Number	:	1689677189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYLVIA D CUBANO PEREZ M.D.

Provider Business Mailing Address
First Line	:	URB UNIVERSITY GARDENS
Second Line	:	206 INTERAMERICANA ST
City	:	SAN JUAN
State	:	PR
Zip	:	00927-4802
Country	:	US
Telephone Number	:	787-764-9443
Fax Number	:	787-764-9443

Provider Business Practice Location Address
First Line	:	1056 M. RIVERA AVE SUITE 511
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00927-0000
Country	:	US
Telephone Number	:	787-764-9443
Fax Number	:	787-764-9443

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	12/21/2010

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