MEDICARE: DR. ANA D. MARTINEZ CINTRON PH.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	103TC0700X	Clinical Psychologist	001468	PR

General Provider Information

NPI Number	:	1881605459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANA D. MARTINEZ CINTRON PH.D.

Provider Business Mailing Address
First Line	:	1432 CALLE BARRACUDA
Second Line	:	BAHIA VISTAMAR
City	:	CAROLINA
State	:	PR
Zip	:	00983-1451
Country	:	US
Telephone Number	:	787-768-0771
Fax Number	:	787-768-8094

Provider Business Practice Location Address
First Line	:	217 A IITURREGUI PLAZA
Second Line	:	SUITE 217 A
City	:	SAN JUAN
State	:	PR
Zip	:	00925-0000
Country	:	US
Telephone Number	:	787-768-0771
Fax Number	:	787-768-8094

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

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	03/03/2008

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