Healthcare Provider Details

I. General information

NPI: 1003329772
Provider Name (Legal Business Name): ANDRES CINTRA NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2017
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1176 SW 67TH AVE
MIAMI FL
33144-4700
US

IV. Provider business mailing address

10724 SW 173RD TER
MIAMI FL
33157-4156
US

V. Phone/Fax

Practice location:
  • Phone: 305-359-9838
  • Fax: 786-224-6490
Mailing address:
  • Phone: 786-478-7576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9398045
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9398045
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: