Provider Demographics
NPI:1184649709
Name:CINTRON, DOMINGO R (MD)
Entity Type:Individual
Prefix:MR
First Name:DOMINGO
Middle Name:R
Last Name:CINTRON
Suffix:
Gender:M
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:PO BOX 363948
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3948
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:787-758-8705
Practice Address - Street 1:CALLE SERGIO CUEVAS BUSTAMANTE
Practice Address - Street 2:#527 URB PARGUE CENTRAL
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-751-7505
Practice Address - Fax:787-758-8705
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3594208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics