Healthcare Provider Details

I. General information

NPI: 1720241771
Provider Name (Legal Business Name): DEBORAH CINTRON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 03/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 PONCE BY PASS 5TH FLOOR
PONCE PR
00717-1318
US

IV. Provider business mailing address

P O BOX 11913
SAN JUAN PR
00922-1913
US

V. Phone/Fax

Practice location:
  • Phone: 787-259-4427
  • Fax: 787-841-7228
Mailing address:
  • Phone: 787-999-0753
  • Fax: 787-999-0789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number11156
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: