Provider Demographics
NPI:1659477214
Name:SALGADO CINTRON, JODYS (MD)
Entity Type:Individual
Prefix:
First Name:JODYS
Middle Name:
Last Name:SALGADO CINTRON
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:PO BOX 3522
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-3522
Mailing Address - Country:US
Mailing Address - Phone:787-487-4472
Mailing Address - Fax:
Practice Address - Street 1:SAN JUAN HEALTH CTR
Practice Address - Street 2:150 AVE. DE DIEGO STE 105
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-2300
Practice Address - Country:US
Practice Address - Phone:787-723-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13189208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR90160Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER