Provider Demographics
NPI:1194797373
Name:NAZARIO-CINTRON, EFRAIN (MD)
Entity type:Individual
Prefix:DR
First Name:EFRAIN
Middle Name:
Last Name:NAZARIO-CINTRON
Suffix:
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:PO BOX 3306
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3306
Mailing Address - Country:US
Mailing Address - Phone:787-832-1710
Mailing Address - Fax:787-832-1715
Practice Address - Street 1:CARRETERA #2, AVENIDA HOSTOS
Practice Address - Street 2:CENTRO MEDICO MAYAGUEZ
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-832-1710
Practice Address - Fax:787-832-1715
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6020208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6020OtherMEDICAL LICENSE
PR6020OtherMEDICAL LICENSE