Provider Demographics
NPI:1841492550
Name:CADILLO-CHAVEZ, RONALD G (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:G
Last Name:CADILLO-CHAVEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RONALD
Other - Middle Name:GERMAN
Other - Last Name:CADILLO-CHAVEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:100 PASEO SAN PABLO SUITE 406
Mailing Address - Street 2:EDIFICIO ARTURO CADILLA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-680-7525
Mailing Address - Fax:787-680-7526
Practice Address - Street 1:100 PASEO SAN PABLO SUITE 406
Practice Address - Street 2:EDIFICIO ARTURO CADILLA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-680-7525
Practice Address - Fax:787-680-7526
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD441993208800000X
PR17605208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology