Provider Demographics
NPI:1104359280
Name:CANTOR, CESAR
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:
Last Name:CANTOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 THREE LAKES DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-1022
Mailing Address - Country:US
Mailing Address - Phone:210-367-7687
Mailing Address - Fax:
Practice Address - Street 1:47 THREE LAKES DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-1022
Practice Address - Country:US
Practice Address - Phone:210-306-8499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care