Provider Demographics
NPI:1396726253
Name:CASAS, RENE (MD)
Entity type:Individual
Prefix:DR
First Name:RENE
Middle Name:
Last Name:CASAS
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 982
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-0982
Mailing Address - Country:US
Mailing Address - Phone:787-857-3448
Mailing Address - Fax:787-857-3448
Practice Address - Street 1:NO 19 MUNOZ RIVERA ST
Practice Address - Street 2:
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794
Practice Address - Country:US
Practice Address - Phone:787-857-3448
Practice Address - Fax:787-857-3448
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6288207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BB0488684OtherDEA REGISTRATION NO
BB0488684OtherDEA REGISTRATION NO
PR0027743Medicare ID - Type Unspecified