MEDICARE: MR. DANIEL ENRIQUE CANCIO-AMADEO

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	207P00000X	Emergency Medicine Physician	24815	PR

General Provider Information

NPI Number	:	1770169641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL ENRIQUE CANCIO-AMADEO

Provider Business Mailing Address
First Line	:	KM 8.3 CALLE 3, AV. 65 DE INFANTERIA
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00984
Country	:	US
Telephone Number	:	787-757-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	PASEO DR. JOSE CELSO BARBOSA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921
Country	:	US
Telephone Number	:	787-758-2525
Fax Number	:

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

Provider Enumeration Date	:	03/22/2021
Last Update Date	:	03/09/2026

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