Provider Demographics
NPI:1518042845
Name:SCHAENING, JUAN LUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:LUIS
Last Name:SCHAENING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:910 CALLE GEORGETOWN
Mailing Address - Street 2:UNIVERSITY GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-4808
Mailing Address - Country:US
Mailing Address - Phone:787-608-2426
Mailing Address - Fax:787-771-4866
Practice Address - Street 1:1006 CALLE HARVARD, COND. GARDEN CENTER, SUITE C-5
Practice Address - Street 2:UNIVERSITY GARDENS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-4808
Practice Address - Country:US
Practice Address - Phone:787-689-0444
Practice Address - Fax:787-689-1144
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2009-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR13057207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0020332Medicare ID - Type Unspecified
PRH82118Medicare UPIN