| Juan M Cancio Md Pa | |
|
777 E 25th St Suite 510 Hialeah FL 33013-3825 | |
| (305) 691-7044 | |
| (305) 691-6010 |
| Full Name | Juan M Cancio Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 777 E 25th St, Hialeah, Florida |
| Authorized Official Name and Position | Juan M Cancio (MEDICAL DOCTOR) |
| Authorized Official Contact | 3056917044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan M Cancio Md Pa 777 E 25th St Suite 510 Hialeah FL 33013-3825 Ph: (305) 691-7044 | Juan M Cancio Md Pa 777 E 25th St Suite 510 Hialeah FL 33013-3825 Ph: (305) 691-7044 |
| NPI Number | 1679803431 |
|---|---|
| Provider Enumeration Date | 12/30/2009 |
| Last Update Date | 01/13/2010 |
| Medicare PECOS PAC ID | 2567595267 |
|---|---|
| Medicare Enrollment ID | O20100802000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679803431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0056544 (Florida) | Primary |
| Provider Name | Juan M Cancio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366463796 PECOS PAC ID: 9638202336 Enrollment ID: I20100802000662 |
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