Provider Demographics
NPI:1174602064
Name:SOBRINO CATONI, JOSE
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:SOBRINO CATONI
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:TORRE SAN PABLO 503
Mailing Address - Street 2:#68 SANTA CRUZ
Mailing Address - City:PUERTO RICO
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-780-5627
Mailing Address - Fax:787-798-3495
Practice Address - Street 1:TORRE SAN PABLO 503
Practice Address - Street 2:#68 SANTA CRUZ
Practice Address - City:PUERTO RICO
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-780-5627
Practice Address - Fax:787-798-3495
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4148207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4148OtherLICENSE
PRC77348Medicare UPIN
PR25558Medicare ID - Type Unspecified