Provider Demographics
NPI:1689677189
Name:CUBANO PEREZ, SYLVIA D (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:D
Last Name:CUBANO PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:URB UNIVERSITY GARDENS
Mailing Address - Street 2:206 INTERAMERICANA ST
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-4802
Mailing Address - Country:US
Mailing Address - Phone:787-764-9443
Mailing Address - Fax:787-764-9443
Practice Address - Street 1:1056 M. RIVERA AVE SUITE 511
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-0000
Practice Address - Country:US
Practice Address - Phone:787-764-9443
Practice Address - Fax:787-764-9443
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11499207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR84572Medicare PIN
PRF97835Medicare UPIN
PR0084572Medicare PIN