Provider Demographics
NPI:1750366969
Name:CALES, XAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:
Last Name:CALES
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:CALLE 12, H-11 JARDINES FAGOT
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4070
Mailing Address - Country:US
Mailing Address - Phone:787-844-7708
Mailing Address - Fax:787-842-1496
Practice Address - Street 1:5259 CALLE CARACAS
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1762
Practice Address - Country:US
Practice Address - Phone:787-842-1496
Practice Address - Fax:787-842-1496
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8573173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR200040OtherMMM HEALTH CARE
PR9081OtherINTERNATIONAL
PR82669OtherTRIPLE S
PR200040OtherMMM HEALTH CARE
PR9081OtherINTERNATIONAL