Provider Demographics
NPI:1700593555
Name:CABRERA RIOS, CECILLE MARIE (ND)
Entity Type:Individual
Prefix:DR
First Name:CECILLE
Middle Name:MARIE
Last Name:CABRERA RIOS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 CALLE REY RICARDO
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00969
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:GAM TOWER, SAN PATRICIO
Practice Address - Street 2:2 CALLE TABONUCO, OFFICE 202-B
Practice Address - City:GUAYNABO
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00968-3020
Practice Address - Country:UM
Practice Address - Phone:787-548-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-01
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR90175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath