Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 9398045 | FL |
NPI | 1003329772 |
---|---|
Provider Name | Andres Cintra |
First Address | Homestead, FL 33032-8001 |
Second Address | Homestead, FL 33030-7309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2017 |
Last Update Date | 04/05/2020 |