1972783165 NPI number — MAURA CINTAS, M.D., PA

Table of content: (NPI 1972783165)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972783165 NPI number — MAURA CINTAS, M.D., PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAURA CINTAS, M.D., PA
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:
MY DOCTOR'S PEDIATRICS
Provider Other Organization Name Type Code:
3
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:
1972783165
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/02/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9000 SW 137TH AVE STE 204
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33186-1436
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-383-1902
Provider Business Mailing Address Fax Number:
305-383-9443

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9000 SW 137TH AVE STE 204
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33186-1436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-383-1902
Provider Business Practice Location Address Fax Number:
305-383-9443
Provider Enumeration Date:
11/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CINTAS
Authorized Official First Name:
MAURA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
305-383-1902

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QH0100X , with the licence number: ME0062160 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1073579959 . This is a "NPI INDIVIDUAL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 013915700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1972783165 . This is a "GROUP NPI" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 370990600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 378923302 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1427012624 . This is a "NPI INDIVIDUAL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 257911100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 379602700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1023410511 . This is a "NPI INDIVIDUAL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1174513683 . This is a "NPI INDIVIDUAL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 378923300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110323600 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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