Camille Nanette Casasnovas, MD
Individual provider Active NPI Pediatrics Physician · San Juan, PR
NPI 1972799591 · NPPES record last updated Aug 2, 2010
Key facts
- NPI
- 1972799591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 17978 (PR)
- Practice address
- Americo Miranda Ave.
Pediatric University District Hospital
San Juan, PR 00927 - Phone
- (787) 777-3535
- NPI assigned
- Sep 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17978 | PR | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17978 | PR | Yes |
Addresses
Primary practice location
Americo Miranda Ave.
Pediatric University District Hospital
San Juan, PR 00927
Mailing address
Cond Jard Metro II Apt 2M
San Juan, PR 00927
Phone (787) 763-1196
Other providers in San Juan, PR
- Heriberto Casanova
- Mahe Gelsys Casanova
- Roberto Casanova
- Roberto L Casanova
- Rose J Casanova
- Marisel Casasnovas
- Nicolas C Casellas Castillo
- Beatriz Casellas
- Nicolas Javier Casellas
- Casiano Consulting Services
All providers in San Juan, PR · Pediatrics Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.