Healthcare Provider Details

I. General information

NPI: 1871549188
Provider Name (Legal Business Name): HECTOR P CINTRON MSN, ARNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 HOLLYWOOD BLVD SUITE 460
HOLLYWOOD FL
33021-6927
US

IV. Provider business mailing address

5810 NE 2ND TER
FT LAUDERDALE FL
33334-1824
US

V. Phone/Fax

Practice location:
  • Phone: 954-923-7440
  • Fax:
Mailing address:
  • Phone: 954-560-9712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberARNP9170882
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: