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Individual

DR. MIGUEL P. CARDONA CANCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
11591
PR
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11591
PR
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
11591
PR
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
11591
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11591
PUERTO RICO STATE LICENCE
PR
Enumeration date
09/01/2005
Last updated
03/02/2021
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