Individual
DR. ALFREDO ANTONIO CANINO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
404 AVE DE DIEGO, ARECIBO, PR 00612-4358
(787) 878-2813
(787) 817-7534
Mailing address
PO BOX 140669, ARECIBO, PR 00614-0669
(787) 878-2813
(787) 817-7534
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0581
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600183
MMM PROVIDER NO
PR
Enumeration date
06/14/2005
Last updated
07/09/2007
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