Healthcare Provider Details

I. General information

NPI: 1619814175
Provider Name (Legal Business Name): CARMEN CINTRON RDN, LND, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4497 CALLE MARGINAL STE 4
FAJARDO PR
00738-3898
US

IV. Provider business mailing address

4497 CALLE MARGINAL STE 4
FAJARDO PR
00738-3898
US

V. Phone/Fax

Practice location:
  • Phone: 787-766-2805
  • Fax:
Mailing address:
  • Phone: 787-766-2805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number1345
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-302087
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number598981
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: