Provider Demographics
NPI:1790780914
Name:CANAS, LUIS ROBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:ROBERTO
Last Name:CANAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2000
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-2000
Mailing Address - Country:US
Mailing Address - Phone:787-638-0246
Mailing Address - Fax:787-735-2268
Practice Address - Street 1:38C CALLE 1
Practice Address - Street 2:VILLA ROSALES
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-735-7859
Practice Address - Fax:787-954-7501
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5047207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6090029OtherHUMANA
PR26061OtherTRIPLE S
PRM0247OtherPLAN MENONITA
PR26061OtherMEDICARE PTAN
PR400012OtherMEDICARE Y MUCHO MAS
PR063965OtherLA CRUZ AZUL DE P.R.
PRE08213Medicare UPIN