Jose a. Cancio MD, C.S.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

13997 Issued in PR

Legal business name

JOSE A. CANCIO MD, C.S.P.

Practice address

349 Hostos Ave. Suite 1 a
Medical Emporium II
Mayaguez, PR 00682

Phone

(787) 806-2600

Fax

(787) 806-2656

NPI assigned

Jun 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tatiana Santos

Title

Office Administrator

Phone

(787) 464-1935

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose A Cancio, M.D.

  • Specialist
  • Mayaguez, PR
  • NPI 1750388542
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1073809356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006605430",
            "telephone_number": "787-806-2600",
            "fax_number": "787-806-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 HOSTOS AVE. SUITE 1 A",
            "address_2": "MEDICAL EMPORIUM II",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-806-2600",
            "fax_number": "787-806-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A. CANCIO MD, C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "787-464-1935"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "13997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jorge L Colon
• Jose E Montalvo
• Jose Hernandez Vera-Medicina General,CSP
• Juan Felipe Bado Perez DMD P.S.C
• Juan R Diaz Troche Cirujanos CSP
• Moraima M. Jurado Bequer, M.S.

• Specialist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.