Provider Demographics
NPI:1306999339
Name:CANTU, NARIO RENE (RPH,PD)
Entity type:Individual
Prefix:MR
First Name:NARIO
Middle Name:RENE
Last Name:CANTU
Suffix:
Gender:M
Credentials:RPH,PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 SOUTH CLOSNER
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539
Mailing Address - Country:US
Mailing Address - Phone:956-383-1239
Mailing Address - Fax:956-318-0196
Practice Address - Street 1:504 SOUTH CLOSNER
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-383-1239
Practice Address - Fax:956-318-0196
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX283231835P1300X, 1835P1200X, 1835X0200X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835X0200XPharmacy Service ProvidersPharmacistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3623860-01Medicaid