| Doctor Name: | DR. CRISTOBAL ANTRON AVILA |
| NPI Number: | 1205039104 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 10988 |
| Business Practice Address: | Urb. Brisas Del Mar Edificio Sonny City Calle 2-j-6 Luquillo, PR - 007380005 |
| Business Phone Number: | 9396406095 |
| Business Fax Number: | 7878880202 |
| Mailing Address: | Pmb 108 Po. Box 70005, FAJARDO |
| State: | PR |
| Postal Code: | 007380005 |
| Phone Number: | 7878871819 |
| Fax Number: | 7878880202 |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 03/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10988 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |