MEDICARE: CARMEN BEATRICE CINTRON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	968	VI
2	207R00000X	Internal Medicine Physician	9400447	NC
3	207R00000X	Internal Medicine Physician	37197	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	207R00000X	OTHER	VI	TAXONOMY

General Provider Information

NPI Number	:	1396730727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN BEATRICE CINTRON DO

Provider Business Mailing Address
First Line	:	PO BOX 24822
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00824-0822
Country	:	US
Telephone Number	:	340-227-7233
Fax Number	:	757-483-9578

Provider Business Practice Location Address
First Line	:	2024 ESTATE MOUNT WELCOME
Second Line	:	STE 10
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-3610
Country	:	US
Telephone Number	:	340-227-7233
Fax Number	:	757-483-9578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	08/07/2015

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