| Doctor Name: | DR. JEANNETTE ELIZABETH CANO-LANDIVAR |
| NPI Number: | 1538447438 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 18282 |
| Business Practice Address: | 20 Calle Prol 25 De Julio Apt 701a Yauco, PR - 006983509 |
| Business Phone Number: | 7187046299 |
| Business Fax Number: | |
| Mailing Address: | 1420 27th Ave, Apt 3g ASTORIA |
| State: | NY |
| Postal Code: | 111023873 |
| Phone Number: | 7187046299 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2011 |
| NPI Last Update Date: | 05/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18282 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |