| Doctor Name: | DR. JOSE M CANABAL ENRIQUEZ |
| NPI Number: | 1518049766 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 12249 |
| Business Practice Address: | Centro Comercial Barinas Carretera 335 Km.1.5 Bario Barinas Yauco, PR - 006980000 |
| Business Phone Number: | 7876453658 |
| Business Fax Number: | 7878564966 |
| Mailing Address: | Urb. El Rosario Calle 3 #20, YAUCO |
| State: | PR |
| Postal Code: | 006980000 |
| Phone Number: | 7876453658 |
| Fax Number: | 7878564966 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 07/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12249 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |