Provider Demographics
NPI:1942428081
Name:JUAN R. CANALS MD PA
Entity Type:Organization
Organization Name:JUAN R. CANALS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:1
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:CANALS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-538-5336
Mailing Address - Street 1:1111 LINCOLN RD
Mailing Address - Street 2:375
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2452
Mailing Address - Country:US
Mailing Address - Phone:305-538-5336
Mailing Address - Fax:305-672-7969
Practice Address - Street 1:1111 LINCOLN RD
Practice Address - Street 2:375
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2452
Practice Address - Country:US
Practice Address - Phone:305-538-5336
Practice Address - Fax:305-672-7969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty