Healthcare Provider Details

I. General information

NPI: 1902052830
Provider Name (Legal Business Name): MR. JUAN M CINTRON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2008
Last Update Date: 08/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CALLE SATURNINO RODRIGUEZ
YABUCOA PR
00767-3527
US

IV. Provider business mailing address

PO BOX 243
YABUCOA PR
00767-0243
US

V. Phone/Fax

Practice location:
  • Phone: 787-893-5544
  • Fax: 787-893-1839
Mailing address:
  • Phone: 787-691-1466
  • Fax: 787-893-1839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number3222
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: