Provider Demographics
NPI:1376559369
Name:CASANOVA, CYNTHIA RITA (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:RITA
Last Name:CASANOVA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:I7 CALLE EBANO
Mailing Address - Street 2:COND. MADRESELVA, APT. 1002
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3100
Mailing Address - Country:US
Mailing Address - Phone:787-641-7582
Mailing Address - Fax:787-641-3602
Practice Address - Street 1:I7 CALLE EBANO
Practice Address - Street 2:COND. MADRESELVA, APT. 1002
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-3100
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:787-641-3602
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2017-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR71172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry