Individual
DR. MIGUEL CANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-6719
Mailing address
3551 ROGER BROOKE DRIVE, BROOKE ARMY MEDICAL CENTER, FORT SAM HOUSTON, TX 78234
(210) 916-9928
(210) 916-9332
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29093
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134549165
—
TX
Enumeration date
04/17/2014
Last updated
09/23/2021
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