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General NPI Number Information
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NPI Number | 1235135492
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Entity Type | Individual
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Provider Name | MIGUEL A CINTRON D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 18 CALLE MENDEZ VIGO EXT
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City | PONCE
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State | PR
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Zip | 00730-2982
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Country | US
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Telephone | 787-840-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 1575 AVE MUNOZ RIVERA
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City | PONCE
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State | PR
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Zip | 00717-0211
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Country | US
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Telephone | 787-840-3344
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 00949
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License Number State | PR
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