Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD08361 | RI |
NPI | 1023182383 |
---|---|
Provider Name | Juan Carlos Canton |
First Address | Warwick, RI 02886 |
Second Address | Warwick, RI 02886 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 06/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005431222 | AETHA (01) | |
202318 | BCBS (01) | RI |
203814 | BLUE CHIP (01) | |
4946763 | CIGNA (01) | |
7500061 | UNITED HEALTH (01) | |
767476 | TUFTS (01) | |
9020231 | (05) | RI |
F74658 | (02) |