Basic Information
| Provider Information | |||||||||
| NPI: | 1326234949 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CASIANO | ||||||||
| FirstName: | LUIS | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | SAN JUAN CITY HOSPITAL | ||||||||
| Address2: | OBSTETRICS AND GYNECOLOGY DEPARTMENT | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877662223 | ||||||||
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| Practice Location | |||||||||
| Address1: | 920 N JOHN YOUNG PKWY | ||||||||
| Address2: | |||||||||
| City: | KISSIMMEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 34741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4079561920 | ||||||||
| FaxNumber: | 4074835844 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/18/2007 | ||||||||
| LastUpdateDate: | 08/09/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | ME134711 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 26495 | PR | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.