Healthcare Provider Details

I. General information

NPI: 1609756295
Provider Name (Legal Business Name): MELISSA CINTRON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 WELCH RD
PALO ALTO CA
94304-1905
US

IV. Provider business mailing address

1089 CENTRAL BLVD
HAYWARD CA
94542-1820
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-4000
  • Fax:
Mailing address:
  • Phone: 914-413-3985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number95135089
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: