Provider Demographics
NPI:1114049897
Name:DESA CINTRON, FILIBERTO (DDS)
Entity Type:Individual
Prefix:
First Name:FILIBERTO
Middle Name:
Last Name:DESA CINTRON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 56 BOX 35650
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9790
Mailing Address - Country:US
Mailing Address - Phone:787-868-6783
Mailing Address - Fax:787-868-6783
Practice Address - Street 1:HC 56 BOX 35650
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-9790
Practice Address - Country:US
Practice Address - Phone:787-868-6783
Practice Address - Fax:787-868-6783
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2214122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist