CRISOSTOMO V. LACANO MD – NPI #1063486819
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CRISOSTOMO LACANO is a radiologist located in ROCKLEDGE, FL. NPPES has assigned the NPI number 1063486819 to CRISOSTOMO LACANO on February 16, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 12 years ago on Aug 15, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRISOSTOMO LACANO below.

NPI Profile for
CRISOSTOMO V. LACANO

NPI Number
1063486819
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CRISOSTOMO V. LACANO
Credentials
MD
Primary location
110 LONGWOOD AVENUE
ROCKLEDGE, FL 32955
Phone: (321) 636-2211 Fax:
Mailing address
PO BOX 919346
ORLANDO, FL 32891-9346
Phone: (727) 896-3134 Fax: (770) 666-9331
Sole Proprietor
No
Updated
Identifiers

Identifiers for CRISOSTOMO LACANO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSFL05401
MEDICAIDFL039490400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
FL 29409

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.