Provider Demographics
NPI:1033192414
Name:CINTRON RUIZ, EVELYN (MD)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:CINTRON RUIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8073
Mailing Address - Street 2:MAIN ST
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-8073
Mailing Address - Country:US
Mailing Address - Phone:787-840-9724
Mailing Address - Fax:
Practice Address - Street 1:8133 CONCORDIA
Practice Address - Street 2:STE 203
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1543
Practice Address - Country:US
Practice Address - Phone:787-840-1185
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2555207R00000X, 207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy