Provider Demographics
NPI:1881074409
Name:CINTRON ORTIZ, LUIS ELFREN III (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:ELFREN
Last Name:CINTRON ORTIZ
Suffix:III
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:B24 CALLE 5
Mailing Address - Street 2:PRADO ALTO
Mailing Address - City:GUAYANBO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-378-4683
Mailing Address - Fax:
Practice Address - Street 1:16 CALLE BARCELO
Practice Address - Street 2:
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-2444
Practice Address - Country:US
Practice Address - Phone:787-230-7190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18939146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1588916274Other0RGANIZATIONAL