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Individual
DR. IVAN F GONZALEZ-CANCEL
Active
Individual
DR. IVAN F GONZALEZ-CANCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
9454
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0204042
UTI PROVIDER NUMBER
PR
01
—
069976
CA PROVIDER NUMBER
PR
01
—
1691
PMC PROVIDER NUMBER
PR
01
—
5709454
UIA PROVIDER NUMBER
PR
01
—
600087
MMM PROVIDER NUMBER
PR
01
—
8000327
HUMANA PROVIDER NUMBER
PR
01
—
83286
SSS PROVIDER NUMBER
PR
01
—
83286GO
SSS PROVIDER NUMBER
PR
01
—
N791
IMC PROVIDER NUMBER
PR
Enumeration date
06/21/2005
Last updated
07/09/2007
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