Individual provider · NPI-1

Pablo Antonio Cantero, MD

Student in an Organized Health Care Education/Training Program · Guaynabo, PR

NPI number1639694367
StatusActive
Last updated in NPPESJan 29, 2024

Details

NPI
1639694367
Entity type
Individual (NPI-1)
Name
Pablo Antonio Cantero
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 3, 2017
Certification date
Jan 29, 2024
Last updated
Jan 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
207R00000X Internal Medicine22805PR

Practice location

357 Calle Rey Carlos
La Villa De Torrimar
Guaynabo, PR 00969

Phone 787-552-2223

Mailing address

Po Box 192524
San Juan, PR 00919-2524

Phone 787-552-2223

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