Healthcare Provider Details

I. General information

NPI: 1508230921
Provider Name (Legal Business Name): ITZAMARIE CINTRON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2015
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10661 SW 88TH ST STE 116
MIAMI FL
33176-1593
US

IV. Provider business mailing address

21097 NE 27TH CT SUITE 350
AVENTURA FL
33180-1204
US

V. Phone/Fax

Practice location:
  • Phone: 786-353-4325
  • Fax:
Mailing address:
  • Phone: 305-974-5533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9300008
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9300008
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: