Provider Demographics
NPI:1306044078
Name:AMILL-CINTRON, ROXANNA M (MD)
Entity Type:Individual
Prefix:
First Name:ROXANNA
Middle Name:M
Last Name:AMILL-CINTRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:COND SAN FRANCISCO JAVIER
Mailing Address - Street 2:50 CALLE SAN JOSE APT. 905
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4738
Mailing Address - Country:US
Mailing Address - Phone:787-598-1070
Mailing Address - Fax:
Practice Address - Street 1:E36 CALLE HERNANDEZ CARRION
Practice Address - Street 2:ATENAS
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4622
Practice Address - Country:US
Practice Address - Phone:787-884-4477
Practice Address - Fax:787-884-4495
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-04
Last Update Date:2011-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR17862208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation