Healthcare Provider Details

I. General information

NPI: 1386698405
Provider Name (Legal Business Name): CRISTIAN R TAMPE-MORENO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

778 VALLE DE LAJAS LOS CAMPOS DE MONTEHIEDRA
SAN JUAN PR
00926-7033
US

IV. Provider business mailing address

778 VALLE DE LAJAS LOS CAMPOS DE MONTEHIEDRA
SAN JUAN PR
00926-7033
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-7582
  • Fax: 787-641-9501
Mailing address:
  • Phone: 787-923-1138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number13742
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: