Provider Demographics
NPI:1972560993
Name:GARLAND CANSOBRE, MILTON GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:GEORGE
Last Name:GARLAND CANSOBRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:P O BOX 340, SAINT JUST STATION
Mailing Address - Street 2:
Mailing Address - City:TUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00978
Mailing Address - Country:US
Mailing Address - Phone:787-300-3188
Mailing Address - Fax:787-300-3432
Practice Address - Street 1:CARRETERA 848, KM 1.0 BO. SAINT JUST
Practice Address - Street 2:
Practice Address - City:TUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00978
Practice Address - Country:US
Practice Address - Phone:787-300-3188
Practice Address - Fax:787-300-3432
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR10316207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG40444Medicare UPIN