Provider Demographics
NPI:1174183560
Name:CINTRON, YASHIRA (MSW)
Entity Type:Individual
Prefix:
First Name:YASHIRA
Middle Name:
Last Name:CINTRON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2072 CALLE COLINA
Mailing Address - Street 2:URB VALLE ALTO
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:787-409-1281
Mailing Address - Fax:
Practice Address - Street 1:2072 CALLE COLINA
Practice Address - Street 2:URB VALLE ALTO
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-4139
Practice Address - Country:US
Practice Address - Phone:787-409-1281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR127801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty