Provider Demographics
NPI:1093025124
Name:CANO, ANGEL (ARNP)
Entity Type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:
Last Name:CANO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9254 SW 8TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3168
Mailing Address - Country:US
Mailing Address - Phone:786-499-6863
Mailing Address - Fax:305-551-8962
Practice Address - Street 1:9254 SW 8TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3168
Practice Address - Country:US
Practice Address - Phone:786-499-6863
Practice Address - Fax:305-551-8962
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9228319363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003184300Medicaid
FL003184300Medicaid