Provider Demographics
NPI:1568677946
Name:ENCARNACION KUILAN, CIRILO (MD)
Entity Type:Individual
Prefix:
First Name:CIRILO
Middle Name:
Last Name:ENCARNACION KUILAN
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 1:153 CALLE WASHINTONIA
Mailing Address - Street 2:BOSQUE DE LAS PALMAS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9258
Mailing Address - Country:US
Mailing Address - Phone:787-799-4201
Mailing Address - Fax:
Practice Address - Street 1:CARR. ESTATAL # 2 BO. JUAN SANCHEZ
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-782-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12368208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice