Individual provider Active NPI

Elsie Cintron Nadal, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1639270887
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5946 Issued in PR
Practice address
258 San Jorge Ave.
San Juan, PR 00912-3239
Phone
(787) 727-1000
Fax
(787) 268-8702
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5946 PR Primary

Addresses

Primary practice location

258 San Jorge Ave.
San Juan, PR 00912-3239

Mailing address

125 Calle Aleli
San Francisco Development
San Juan, PR 00927-6306
Phone (787) 758-1209

Other identifiers 1

IdentifierTypeStateIssuer
28526CIOtherPRSSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530000424 PR Practitioner - Diagnostic Radiology 4587929245 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5946PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Feb 1, 2020 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 1, 2020 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Interoperability endpoints

  • Direct secure messaging: sjcecintr@yourcarecommunity.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1639270887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CALLE ALELI",
            "address_2": "SAN FRANCISCO DEVELOPMENT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276306",
            "telephone_number": "787-758-1209",
            "fax_number": "787-758-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 SAN JORGE AVE.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123239",
            "telephone_number": "787-727-1000",
            "fax_number": "787-268-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINTRON NADAL",
        "first_name": "ELSIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "5946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "28526CI",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.