Provider Demographics
NPI:1669576021
Name:CINTRON PAGAN, EVELYN (MD)
Entity type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:
Last Name:CINTRON PAGAN
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 6497
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-5497
Mailing Address - Country:US
Mailing Address - Phone:787-449-8806
Mailing Address - Fax:787-785-6999
Practice Address - Street 1:CENTRO COMERCIAL HERMANAS DAVILA CARR #2
Practice Address - Street 2:AVENIDA BETANCES
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-449-8806
Practice Address - Fax:787-785-6999
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13943208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
201375OtherUTI
3674OtherPREFFED CHOICE
11913943OtherGLOBAL HEALTH
20821CIOtherSSS
3039OtherAMERICAN H
500058EOtherMMM
6940010OtherHUMANA
9574OtherIMC
PG4266OtherPAN AMERICAN
6940010OtherHUMANA
20821Medicare ID - Type Unspecified