Provider Demographics
NPI:1851594923
Name:PINTADO-GARCIA, ISIDORO (MD)
Entity Type:Individual
Prefix:DR
First Name:ISIDORO
Middle Name:
Last Name:PINTADO-GARCIA
Suffix:
Gender:M
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:URB. ESTANCIAS DEL BOSQUE. 416
Mailing Address - Street 2:530 CAMINO LOS AQUINO. APARTADO 129
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-637-9010
Mailing Address - Fax:
Practice Address - Street 1:AVE PONCE DE LEON # 1801
Practice Address - Street 2:OFFICE 203
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-3907
Practice Address - Country:US
Practice Address - Phone:787-922-6730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9763207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine