Provider Demographics
NPI:1033278429
Name:CINTRON, EVELYN (MD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:
Last Name:CINTRON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1428 SPARTA ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MC MINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-1365
Mailing Address - Country:US
Mailing Address - Phone:931-474-7770
Mailing Address - Fax:931-474-7775
Practice Address - Street 1:1100 SMITHVILLE HWY STE 105
Practice Address - Street 2:SUITE 4
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-1663
Practice Address - Country:US
Practice Address - Phone:931-474-7770
Practice Address - Fax:931-474-7775
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2015-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD26640207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3709869Medicare PIN
G37622Medicare UPIN