Provider Demographics
NPI:1538100334
Name:NAVAS, EDWARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:NAVAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 989
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0989
Mailing Address - Country:US
Mailing Address - Phone:787-854-7529
Mailing Address - Fax:
Practice Address - Street 1:301 BO CANTERA
Practice Address - Street 2:SUITE 1
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4810
Practice Address - Country:US
Practice Address - Phone:787-854-7529
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5616207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine