Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 6957 | PR |
NPI | 1154474534 |
---|---|
Provider Name | Dr. Jose Luis Cintron |
First Address | Fajardo, PR 00738-4013 |
Second Address | Fajardo, PR 00738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 07/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
067587 | CRUZ AZUL (01) | PR |
1103 | IMC (01) | PR |
209171 | PREFERRED UTI (01) | |
2321 | AMERICANHEALTH (01) | PR |
27926 | TRIPLE S (01) | PR |
332755023 | PROSAM (01) | PR |
376957 | UIA (01) | PR |
6480064 | HUMANA (01) | PR |
E18025 | (02) | PR |
PE2054 | PALICPROVIDER (01) | PR |