Healthcare Provider Details

I. General information

NPI: 1558284414
Provider Name (Legal Business Name): PREVENTIVA PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TORRE MEDICA SAN FERNANDO, OFICINA 603, CALLE AMADEO ESQ. AVE FERNANDEZ JUNCOS
CAROLINA PR
00986
US

IV. Provider business mailing address

PO BOX 7762
CAROLINA PR
00986-7762
US

V. Phone/Fax

Practice location:
  • Phone: 787-999-4109
  • Fax:
Mailing address:
  • Phone: 787-999-4109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PAOLA CINTRON VILLA
Title or Position: PHYSICIAN
Credential: MD
Phone: 787-999-4109