1275823825 NPI number — MIGUEL A. CINTRON M.D.P.C.

Table of content: (NPI 1275823825)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275823825 NPI number — MIGUEL A. CINTRON M.D.P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIGUEL A. CINTRON M.D.P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275823825
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7116 GRAND AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MASPETH
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11378-1823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-335-0628
Provider Business Mailing Address Fax Number:
718-335-6957

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7116 GRAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MASPETH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11378-1823
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-335-0628
Provider Business Practice Location Address Fax Number:
718-335-6957
Provider Enumeration Date:
04/17/2011

Additional Information

Authorized Official

Authorized Official Last Name:
CINTRON
Authorized Official First Name:
MIGUEL
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-335-0628

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  191997 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 44J311 . This is a "BC/BS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 100013782101 . This is a "UHC MC AID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 100015649 . This is a "UHC RR MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 191997S . This is a "HIP HEALTHCARE PARTNERS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 128412 . This is a "WELLCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6C8850 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01633114 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1373821 . This is a "UNITED HC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 9337734015 . This is a "CIGNA PAL" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2571952 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 9624693 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 450148 . This is a "HERITAGE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0H029P . This is a "HIP PRIS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NS4545 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 100137382101 . This is a "AMERICHOICE AID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com