Provider Demographics
NPI:1639270887
Name:CINTRON NADAL, ELSIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELSIE
Middle Name:
Last Name:CINTRON NADAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CALLE ALELI
Mailing Address - Street 2:SAN FRANCISCO DEVELOPMENT
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6306
Mailing Address - Country:US
Mailing Address - Phone:787-758-1209
Mailing Address - Fax:787-758-2021
Practice Address - Street 1:258 SAN JORGE AVE.
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3239
Practice Address - Country:US
Practice Address - Phone:787-727-1000
Practice Address - Fax:787-268-8702
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR59462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR28526CIOtherSSS
PR28526CIOtherSSS