Provider Demographics
NPI:1922159102
Name:CINTRON-ROSARIO, RICARDO (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICARDO
Middle Name:
Last Name:CINTRON-ROSARIO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 AVE TITO CASTRO
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0202
Mailing Address - Country:US
Mailing Address - Phone:787-844-2135
Mailing Address - Fax:787-844-2135
Practice Address - Street 1:617 AVE TITO CASTRO
Practice Address - Street 2:SUITE 102
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-0202
Practice Address - Country:US
Practice Address - Phone:787-844-2135
Practice Address - Fax:787-844-2135
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist