Individual
DR. MIGUEL P. CARDONA CANCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
419 PONCE DE LEON AVE., EDIF. METROPOLIS SUITE 102, SAN JUAN, PR 00917-3403
(787) 754-0725
(787) 622-3490
Mailing address
419 PONCE DE LEON AVE., EDIF. METROPOLIS SUITE 102, SAN JUAN, PR 00917-3403
(787) 754-0725
(787) 622-3490
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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