Healthcare Provider Details

I. General information

NPI: 1700593555
Provider Name (Legal Business Name): CECILLE MARIE CABRERA RIOS ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GAM TOWER, SAN PATRICIO 2 CALLE TABONUCO, OFFICE 202-B
GUAYNABO PUERTO RICO
00968-3020
UM

IV. Provider business mailing address

402 CALLE REY RICARDO
GUAYNABO PUERTO RICO
00969
UM

V. Phone/Fax

Practice location:
  • Phone: 787-548-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number90
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: