Ada Iris Canino, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD019222E Issued in PA

Practice address

321 W Girard Ave
Health Care Center #6
Philadelphia, PA 19123-1531

Phone

(215) 685-3803

Fax

(215) 685-3848

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306858360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S BROAD ST",
            "address_2": "SUITE 360",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461613",
            "telephone_number": "215-685-6769",
            "fax_number": "215-685-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W GIRARD AVE",
            "address_2": "HEALTH CARE CENTER #6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231531",
            "telephone_number": "215-685-3803",
            "fax_number": "215-685-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANINO",
        "first_name": "ADA",
        "middle_name": "IRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD019222E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006912310003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Canduci
• Jessica Cane
• Maria Mercedes Canela Sr.
• Keila Canete, MPH
• Sabrina Lauren Canilao, PTA
• Michael J Canino, M.D.
• Melanie Canizares Diaz
• Christopher Gerald Cann, M.D.
• Kristen M Cann, BSL
• Rebecca Canna, PSY.D.

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.