Healthcare Provider Details

I. General information

NPI: 1427012624
Provider Name (Legal Business Name): MAURA CINTAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 05/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 SW 137TH AVE SUITE 204
MIAMI FL
33186-1411
US

IV. Provider business mailing address

9748 SW 110TH ST
MIAMI FL
33176-2854
US

V. Phone/Fax

Practice location:
  • Phone: 305-383-1902
  • Fax: 305-383-9443
Mailing address:
  • Phone: 305-273-3983
  • Fax: 305-273-8848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0062160
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: