Provider Demographics
NPI:1760747901
Name:LUIS J CRUZ CINTRON MD, PSC
Entity Type:Organization
Organization Name:LUIS J CRUZ CINTRON MD, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRUZ CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-501-3188
Mailing Address - Street 1:EDIF PORRATA PILA
Mailing Address - Street 2:AVE LAS AMERICAS SUITE 210
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2113
Mailing Address - Country:US
Mailing Address - Phone:787-501-3188
Mailing Address - Fax:
Practice Address - Street 1:EDIF PORRATA PILA
Practice Address - Street 2:AVE LAS AMERICAS SUITE 210
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2113
Practice Address - Country:US
Practice Address - Phone:787-501-3188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12546207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FR322AMedicare UPIN
PRFR322AMedicare UPIN