Provider Demographics
NPI:1760798037
Name:CEDENO LACLAUSTRA, NANETTE Y (MD)
Entity Type:Individual
Prefix:DR
First Name:NANETTE
Middle Name:Y
Last Name:CEDENO LACLAUSTRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NANETTE
Other - Middle Name:Y
Other - Last Name:CEDENO LACLAUSTRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:25 CALLE COSTA BRAVA
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-9391
Mailing Address - Country:US
Mailing Address - Phone:787-241-0430
Mailing Address - Fax:939-697-6176
Practice Address - Street 1:CARR #2 KM 156.5
Practice Address - Street 2:MEDICAL EMPORIUM II SUITE A-31
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-241-0430
Practice Address - Fax:939-697-6176
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17899207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine