=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790919462
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIGUEL CINTRON, M.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2009
-----------------------------------------------------
Last Update Date | 05/11/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5505 S EXPRESSWAY 77 STE 201
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78550-3214
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-412-3332
-----------------------------------------------------
Fax | 956-412-7700
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1310
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78551-1310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-412-3332
-----------------------------------------------------
Fax | 956-412-7700
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MIGUEL CINTRON
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 956-412-3332
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | J2542
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------