Provider Demographics
NPI:1700926755
Name:PROANO, CESAR H (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:H
Last Name:PROANO
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 141120
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-1120
Mailing Address - Country:US
Mailing Address - Phone:787-878-7086
Mailing Address - Fax:
Practice Address - Street 1:8 CALLE COBALLES GANDIA
Practice Address - Street 2:URB. VILLAMAR
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4432
Practice Address - Country:US
Practice Address - Phone:787-878-7086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5102207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR26467PROtherSSS
PR991164OtherMMM
PR068193OtherCRUZ AZUL
PR9180083OtherHUMANA
PR211011OtherPREFERRED
PR4905102OtherUIA
PR068193OtherCRUZ AZUL
PR26467PROtherSSS