Provider Demographics
NPI:1275637456
Name:SANTOS CINTRON, ENID (GENERAL MEDICINE)
Entity Type:Individual
Prefix:
First Name:ENID
Middle Name:
Last Name:SANTOS CINTRON
Suffix:
Gender:F
Credentials:GENERAL MEDICINE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C17 CALLE ALBARROBA
Mailing Address - Street 2:URB SANTA ELENA
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656
Mailing Address - Country:US
Mailing Address - Phone:787-835-4574
Mailing Address - Fax:787-927-7010
Practice Address - Street 1:C17 CALLE ALBARROBA
Practice Address - Street 2:URB SANTA ELENA
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656
Practice Address - Country:US
Practice Address - Phone:787-835-4574
Practice Address - Fax:787-927-7010
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16040208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR16040OtherPUERTO RICO MEDICAL LIC.