Provider Demographics
NPI:1134116528
Name:CUPERMAN, CINTIA M (MD)
Entity Type:Individual
Prefix:
First Name:CINTIA
Middle Name:M
Last Name:CUPERMAN
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 1:8955 SW 87TH CT
Mailing Address - Street 2:106
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2230
Mailing Address - Country:US
Mailing Address - Phone:305-279-9600
Mailing Address - Fax:305-279-7080
Practice Address - Street 1:8955 SW 87TH CT
Practice Address - Street 2:106
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2230
Practice Address - Country:US
Practice Address - Phone:305-279-9600
Practice Address - Fax:305-279-7080
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL68959207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264933100Medicaid
FLG69097Medicare UPIN
FLE0665CMedicare PIN
FLE0665YMedicare PIN
FLE0655BMedicare PIN