Individual
JUAN JOSE CABANERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
772 N TOWNVILLE ST, SENECA, SC 29678-2645
(864) 886-9300
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26426
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264261
—
SC
Enumeration date
07/15/2006
Last updated
05/19/2021
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