NPI 1164837605 · live from the CMS NPI Registry
Ernesto Cantu, D.O.
General Practice in Saint Albans, VT. National Provider Identifier 1164837605, active.
NPI record
| NPI | 1164837605 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | General Practice 208D00000X |
| Practice location | 3 Crest Rd, Saint Albans, VT 05478 |
| Practice phone | 802-524-4554 |
| Mailing address | 14 Wildwood Dr, Essex Junction, VT 05452 |
| Enumerated | June 24, 2014 |
| Last updated | June 30, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | ED0456A (WV) |
| Nuclear Medicine | 207U00000X | 125.066294 (IL) |
| General Practice primary | 208D00000X | 032.0133827 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.