1154304830 NPI number — SYLVETTE LUGO CINTRON MD

Table of content: SYLVETTE LUGO CINTRON MD (NPI 1154304830)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154304830 NPI number — SYLVETTE LUGO CINTRON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LUGO CINTRON
Provider First Name:
SYLVETTE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154304830
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/19/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC 2 BOX 6458
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GUAYANILLA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00656-9607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-927-7040
Provider Business Mailing Address Fax Number:
787-835-6644

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOSPITAL METROPOLITANO DR. TITO MATTEI
Provider Second Line Business Practice Location Address:
CARR.128 KM1.0
Provider Business Practice Location Address City Name:
YAUCO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00698-0068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-856-1000
Provider Business Practice Location Address Fax Number:
787-856-0264
Provider Enumeration Date:
11/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  16098 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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