Provider Demographics
NPI:1295837516
Name:CINTRON RIVERA, VIELKA M (MD)
Entity Type:Individual
Prefix:DR
First Name:VIELKA
Middle Name:M
Last Name:CINTRON RIVERA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:425 CARR 693
Mailing Address - Street 2:PMB 137
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4802
Mailing Address - Country:US
Mailing Address - Phone:787-621-3554
Mailing Address - Fax:787-621-3553
Practice Address - Street 1:MANATI MEDICAL CENTER
Practice Address - Street 2:SUITE 207
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-621-3554
Practice Address - Fax:787-621-3553
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2012-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR13675207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0020424Medicare ID - Type Unspecified
PRI-25564Medicare UPIN