Provider Demographics
NPI:1619637097
Name:RUBI CALDERON, CRISTINA MARIA
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:MARIA
Last Name:RUBI CALDERON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB ARTESIA RESIDENCES
Mailing Address - Street 2:CALLE PICASSO #57
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971
Mailing Address - Country:US
Mailing Address - Phone:787-464-7227
Mailing Address - Fax:
Practice Address - Street 1:URB ARTESIA RESIDENCES
Practice Address - Street 2:CALLE PICASSO #57
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971
Practice Address - Country:US
Practice Address - Phone:787-464-7227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program