Provider Demographics
NPI:1083793285
Name:CASTRO CINTRON, RICARDO J (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:J
Last Name:CASTRO CINTRON
Suffix:
Gender:M
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 870
Mailing Address - Street 2:
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783-0870
Mailing Address - Country:US
Mailing Address - Phone:787-859-1049
Mailing Address - Fax:787-859-1049
Practice Address - Street 1:1 CALLE COLON
Practice Address - Street 2:
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783-1966
Practice Address - Country:US
Practice Address - Phone:787-859-1049
Practice Address - Fax:787-859-1049
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15508208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR22766Medicare ID - Type Unspecified