Provider Demographics
NPI:1730220625
Name:CINTRON RODRIGUEZ, WALESKA (MD)
Entity type:Individual
Prefix:MRS
First Name:WALESKA
Middle Name:
Last Name:CINTRON RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:WALESKA
Other - Middle Name:
Other - Last Name:CINTRON RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7128
Mailing Address - Street 2:MIGRANT HEALTH CENTER, INC
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-7128
Mailing Address - Country:US
Mailing Address - Phone:787-805-2900
Mailing Address - Fax:787-834-1924
Practice Address - Street 1:BO MONTALVA 23 ENSENADA
Practice Address - Street 2:MIGRANT HEALTH CENTER, INC
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00647
Practice Address - Country:US
Practice Address - Phone:787-821-3377
Practice Address - Fax:787-821-5328
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10878208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR87785Medicare ID - Type UnspecifiedMEDICARE
PRG02896Medicare UPIN