Healthcare Provider Details

I. General information

NPI: 1427171255
Provider Name (Legal Business Name): ARIEL CINTRON PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TITI CASTRO AVE. #14 SUITE 1
PONCE PR
00731
US

IV. Provider business mailing address

3513 CALLE LA SANTA
PONCE PR
00716-4828
US

V. Phone/Fax

Practice location:
  • Phone: 787-844-0101
  • Fax:
Mailing address:
  • Phone: 787-843-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number345
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: