Doctor Name: | ERNIE CORDERO CASIANO |
NPI Number: | 1235591173 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 019276 |
Business Practice Address: | Carr. 328 K.m. 6.2 Rayo Guaras Sabana Grande, PR - 006370552 |
Business Phone Number: | 7874511017 |
Business Fax Number: | |
Mailing Address: | Po Box 552, SABANA GRANDE |
State: | PR |
Postal Code: | 006370552 |
Phone Number: | 7874511017 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2016 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 019276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |