Healthcare Provider Details
I. General information
NPI: 1205207271
Provider Name (Legal Business Name): CAREM MICHELLE CINTRON BSPH., PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/15/2015
Last Update Date: 11/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CARR 2 KM 56.6 BARRIO FLORIDA AFUERA
BARCELONETA PR
00617
US
IV. Provider business mailing address
CARR 2 KM 26.6
BARCELONETA PR
00617
US
V. Phone/Fax
- Phone: 787-970-8107
- Fax: 787-970-8112
- Phone: 787-970-8107
- Fax: 787-970-8112
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 5177 |
| License Number State | PR |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: