1427674522 NPI number — JUAN JAVIER CINTRON GARCIA MD, MPH

Table of content: JUAN JAVIER CINTRON GARCIA MD, MPH (NPI 1427674522)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427674522 NPI number — JUAN JAVIER CINTRON GARCIA MD, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CINTRON GARCIA
Provider First Name:
JUAN
Provider Middle Name:
JAVIER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH
Provider Gender Code:
M

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:
1427674522
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/24/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 605
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRUJILLO ALTO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00977-0605
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-743-3437
Provider Business Mailing Address Fax Number:
787-286-7575

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MUNOZ RIVERA A1
Provider Second Line Business Practice Location Address:
HIMA SAN PABLO SURGICENTER SUITE 205
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-743-3437
Provider Business Practice Location Address Fax Number:
787-286-7575
Provider Enumeration Date:
06/24/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  21770 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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