Healthcare Provider Details

I. General information

NPI: 1447232053
Provider Name (Legal Business Name): MARTIN SCAMARONI CINTRON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 CALLE ALTURA VALLE ALTO
PONCE PR
00730-4132
US

IV. Provider business mailing address

1530 CALLE ALTURA
PONCE PR
00730-4132
US

V. Phone/Fax

Practice location:
  • Phone: 787-651-3104
  • Fax:
Mailing address:
  • Phone: 939-793-1191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number16199
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: