Provider Demographics
NPI:1366204828
Name:RODRIGUEZ-CINTRON, GABRIEL ALEXIS
Entity type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:ALEXIS
Last Name:RODRIGUEZ-CINTRON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 CALLE CONVENTO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3207
Mailing Address - Country:US
Mailing Address - Phone:787-969-5886
Mailing Address - Fax:
Practice Address - Street 1:270 CALLE CONVENTO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3207
Practice Address - Country:US
Practice Address - Phone:787-969-5886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program