Provider Demographics
NPI:1083232086
Name:CINTRON VICENTY, YANELIS M (MD)
Entity Type:Individual
Prefix:
First Name:YANELIS
Middle Name:M
Last Name:CINTRON VICENTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. LAS VEGAS C/25 II-19
Mailing Address - Street 2:
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962
Mailing Address - Country:US
Mailing Address - Phone:787-516-2346
Mailing Address - Fax:
Practice Address - Street 1:STREET 25 II-19 URB LAS VEGAS
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-6403
Practice Address - Country:US
Practice Address - Phone:787-516-2346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15391I208D00000X
PR22380208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice