Basic Information
| Provider Information | |||||||||
| NPI: | 1639270887 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CINTRON NADAL | ||||||||
| FirstName: | ELSIE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 125 CALLE ALELI | ||||||||
| Address2: | SAN FRANCISCO DEVELOPMENT | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009276306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877581209 | ||||||||
| FaxNumber: | 7877582021 | ||||||||
| Practice Location | |||||||||
| Address1: | 258 SAN JORGE AVE. | ||||||||
| Address2: | |||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009123239 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877271000 | ||||||||
| FaxNumber: | 7872688702 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2006 | ||||||||
| LastUpdateDate: | 04/27/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 5946 | PR | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 28526CI | 01 | PR | SSS | OTHER |