MEDICARE: MR. RICARDO CINTRON-ROSARIO R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	4146	PR

General Provider Information

NPI Number	:	1922159102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICARDO CINTRON-ROSARIO R.PH.

Provider Business Mailing Address
First Line	:	617 AVE TITO CASTRO
Second Line	:	SUITE 102
City	:	PONCE
State	:	PR
Zip	:	00716-0202
Country	:	US
Telephone Number	:	787-844-2135
Fax Number	:	787-844-2135

Provider Business Practice Location Address
First Line	:	617 AVE TITO CASTRO
Second Line	:	SUITE 102
City	:	PONCE
State	:	PR
Zip	:	00716-0202
Country	:	US
Telephone Number	:	787-844-2135
Fax Number	:	787-844-2135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	07/08/2007

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