Provider Demographics
NPI:1417168634
Name:DORRINGTON-CUADRA, ELSIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELSIE
Middle Name:
Last Name:DORRINGTON-CUADRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELSIE
Other - Middle Name:
Other - Last Name:DORRINGTON-CUADRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 330003
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-0003
Mailing Address - Country:US
Mailing Address - Phone:787-842-9839
Mailing Address - Fax:787-840-6966
Practice Address - Street 1:613 AVE TITO CASTRO STE 101
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-0206
Practice Address - Country:US
Practice Address - Phone:787-842-9839
Practice Address - Fax:787-840-6966
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2276208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics