Individual
DR. ROBERTO L CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
735 AVE PONCE DE LEON STE 809, TORRE MEDICA AUXILIO MUTUO, SAN JUAN, PR 00917-5031
(787) 274-1282
(787) 764-0898
Mailing address
735 AVE PONCE DE LEON STE 809, TORRE MEDICA AUXILIO MUTUO, SAN JUAN, PR 00917-5031
(787) 274-1282
(787) 764-0898
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12594
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081464
MEDICARE ID
PR
Enumeration date
10/18/2006
Last updated
06/15/2012
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