Individual
MR. JOSEPH CANNIZZARO DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 PASEO LAS MONJITAS, PLAZA LAS MONJITAS SUITE 204, PONCE, PR 00730-4222
(787) 844-7336
(787) 651-7756
Mailing address
PMB 134, PO BOX 2000, MERCEDITA, PR 00715-8000
(787) 844-7336
(787) 651-7756
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11238
PR
Other
Enumeration date
05/12/2006
Last updated
10/05/2012
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