Provider Demographics
NPI:1518690510
Name:CASIANO, MIGUEL
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:
Last Name:CASIANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:CASIANO
Other - Middle Name:
Other - Last Name:PARAMEDIC SERVICES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:25317 CARR 100
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-4482
Mailing Address - Country:US
Mailing Address - Phone:787-322-2096
Mailing Address - Fax:
Practice Address - Street 1:25317 CARR 100
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-4482
Practice Address - Country:US
Practice Address - Phone:787-322-2096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9835146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant