Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 263094 | NY |
N | 111NI0900X | Internist | 263094 | NY |
Y | 207RP1001X | Pulmonary Disease | ME122567 | FL |
NPI | 1013183409 |
---|---|
Provider Name | Dr. Nestor Omar Cancio Morales |
First Address | Miami, FL 33133-4253 |
Second Address | Miami, FL 33133-4253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2008 |
Last Update Date | 08/03/2016 |