Healthcare Provider Details
I. General information
NPI: 1215344403
Provider Name (Legal Business Name): CINTHYA PENA ORBEA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/19/2014
Last Update Date: 07/21/2022
Certification Date: 01/17/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9500 EUCLID AVE
CLEVELAND OH
44195-0001
US
IV. Provider business mailing address
200 1ST ST SW
ROCHESTER MN
55905-0001
US
V. Phone/Fax
- Phone: 216-444-2200
- Fax:
- Phone: 507-284-2511
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 61790 |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 125065100 |
| License Number State | IL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | 61790 |
| License Number State | MN |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | 35.136623 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: