Provider Demographics
NPI:1073636403
Name:CINTRON, KATHERINE JOHANNA (MS SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:JOHANNA
Last Name:CINTRON
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Gender:F
Credentials:MS SLP
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Mailing Address - Street 1:R3 CALLE BEGONIA
Mailing Address - Street 2:URB. LA MARINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-1331
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:# 715 AVE. PONCE DE LEON PDA. 37 1 2
Practice Address - Street 2:HOSPITAL AUXILIO MUTUO CLIN. SUBESPECIALISTAS PEDIATR.
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919-1227
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:787-771-7996
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR710235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist