Provider Demographics
NPI:1659477214
Name:SALGADO CINTRON, JODYS L (MD)
Entity type:Individual
Prefix:
First Name:JODYS
Middle Name:L
Last Name:SALGADO CINTRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3522
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-3522
Mailing Address - Country:US
Mailing Address - Phone:787-487-4472
Mailing Address - Fax:
Practice Address - Street 1:CARR 193 KM 1.0 SUITE 4
Practice Address - Street 2:PLAYA AZUL CENTER
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773-3028
Practice Address - Country:US
Practice Address - Phone:787-889-6012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13189208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR90160Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER