Active NPIIndividual providerSole proprietor

Jorge A Bustillo Cancio, MD

General Practice in San Juan, Puerto Rico

NPI Number1306032263
Practice location
J66 Calle Colmenar, Villa Andalucia, San Juan, PR 00926-2524
Fax
—
Last updated
April 6, 2017

Jorge A Bustillo Cancio is a General Practice based in San Juan, PR. Jorge A Bustillo Cancio practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Jorge A Bustillo Cancio is 1306032263 and holds a License No. 16909 (PR). The current practice location address for Jorge A Bustillo Cancio is J66 Calle Colmenar, Villa Andalucia, San Juan, PR 00926-2524 and can be reached out via phone at 787-430-5471.

Provider Profile Details

NPI Number
1306032263
Provider Name
Jorge A Bustillo Cancio
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
J66 Calle Colmenar, Villa Andalucia, San Juan, PR 00926-2524
Phone Number
787-430-5471
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 24, 2007
Last Update Date
April 6, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
J66 Calle Colmenar
Villa Andalucia
San Juan, PR 00926-2524
Zip
00926-2524
Phone Number
787-430-5471
San Juan, PR 00926Get directions →

Provider Business Mailing Address Details

Address
J66 Calle Colmenar
Villa Andalucia
San Juan, PR 00926-2524
City
San Juan
State
PR
Zip
00926-2524
Phone Number
787-430-5471

License Information

License Number
16909
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jorge A Bustillo Cancio, MD?

The NPI number of Jorge A Bustillo Cancio, MD is 1306032263. It was assigned on September 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Jorge A Bustillo Cancio, MD?

Jorge A Bustillo Cancio, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 16909.

Where does Jorge A Bustillo Cancio, MD practice?

The practice location is J66 Calle Colmenar, Villa Andalucia, San Juan, PR 00926-2524. The office can be reached at 787-430-5471 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306032263 directly on the NPPES registry website.

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