Healthcare Provider Details

I. General information

NPI: 1437228129
Provider Name (Legal Business Name): CYNTHIA GALINALTIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 02/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PRIME OUTLETS, CARR #2 KM 54.6 CARIBBEAN CINEMAS SUITE 200
BARCELONETA PR
00617
US

IV. Provider business mailing address

PO BOX 722
DORADO PR
00646-0722
US

V. Phone/Fax

Practice location:
  • Phone: 787-846-4645
  • Fax: 888-859-5656
Mailing address:
  • Phone: 787-846-4645
  • Fax: 888-859-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number12578
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier008-9303
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerMEDICARE PTAN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: