MEDICARE: DR. JOHN CINCO M.D

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	207Q00000X	Family Medicine Physician	16324	OK

General Provider Information

NPI Number	:	1548241276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN CINCO M.D

Provider Business Mailing Address
First Line	:	25 E ST
Second Line	:	SUITE F-306A
City	:	HICKAM AFB
State	:	HI
Zip	:	96853-5400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 SCOTT CIR
Second Line	:	SGH
City	:	HICKAM AFB
State	:	HI
Zip	:	96853-5399
Country	:	US
Telephone Number	:	808-448-3408
Fax Number	:	808-449-4704

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	09/06/2023

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Directions to “ DR. JOHN CINCO M.D” Practice Location

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