Healthcare Provider Details

I. General information

NPI: 1821415027
Provider Name (Legal Business Name): PAOLA A CINTRON VILLA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TORRE MEDICA SAN FERNANDO, OFICINA 603 CALLE AMADEO, ESQUINA AVE FERNANDEZ JUNCOS
CAROLINA PR
00986
US

IV. Provider business mailing address

1509 AVE PONCE DE LEON APT 1233
SAN JUAN PR
00909-1986
US

V. Phone/Fax

Practice location:
  • Phone: 787-999-4109
  • Fax:
Mailing address:
  • Phone: 787-999-4109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number023962
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME128059
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: