Provider Demographics
NPI:1215034459
Name:CINTIA CUPERMAN, M.D., PA
Entity Type:Organization
Organization Name:CINTIA CUPERMAN, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIANS
Authorized Official - Prefix:
Authorized Official - First Name:CINTIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CUPERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-279-9600
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL68959207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264933100Medicaid
FLG69097Medicare UPIN
FLEV489AMedicare PIN