THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
10/06/25 04:14:28 AM

General Information

Former Name: No Former Name
Medical School: University of Toronto, 1995
Gender: Man
Languages Spoken: ENGLISH, SPANISH

Practice Information

Primary Business Location: Suite 310
55 Erb Street East
Waterloo Ontario N2J 4K8
Business Email: No Information Available
Phone: (519) 576-6632
Fax: (519) 576-6756

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Otolaryngology - Head and Neck Surgery
Effective: 30 Jun 2001
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Otolaryngology - Head and Neck Surgery
ISSUED ON: Effective: Jun 30 2001
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Cambridge Memorial Hospital Cambridge
St Mary's General Hospital Kitchener
Grand River Hospital Corporation Kitchener
HOSPITAL: Cambridge Memorial Hospital
LOCATION: Cambridge
HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener
HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener

Professional Corporation Information

Corporation Name: Jose Adrian Prudencio Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 14 Dec 2006
Shareholders:
Dr. J. Prudencio (CPSO#: 76747 )
Business Address: Suite 310
55 Erb Street East
Waterloo Ontario N2J 4K8 (519) 576-6632

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, SPANISH
Medical School: University of Toronto, 1995

Practice Information

Primary Business Location: Suite 310
55 Erb Street East
Waterloo Ontario N2J 4K8
Business Email: No Information Available
Phone: (519) 576-6632
Fax: (519) 576-6756

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Otolaryngology - Head and Neck Surgery
Effective: 30 Jun 2001
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Otolaryngology - Head and Neck Surgery
ISSUED ON: Effective: Jun 30 2001
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Cambridge Memorial Hospital Cambridge
St Mary's General Hospital Kitchener
Grand River Hospital Corporation Kitchener
HOSPITAL: Cambridge Memorial Hospital
LOCATION: Cambridge
HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener
HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener

Professional Corporation Information

Corporation Name: Jose Adrian Prudencio Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 14 Dec 2006
Shareholders:
Dr. J. Prudencio (CPSO#: 76747 )
Business Address: Suite 310
55 Erb Street East
Waterloo Ontario N2J 4K8 (519) 576-6632

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. JOSE ADRIAN PRUDENCIO may practise only in the areas of medicine in which Dr. PRUDENCIO is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. JOSE ADRIAN PRUDENCIO may practise only in the areas of medicine in which Dr. PRUDENCIO is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: University of Toronto, 1995

Registration History

DETAILS DATE
First certificate of registration issued: Independent Practice Certificate Effective: 30 Jun 2001
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 30 Jun 2001