Provider Demographics
NPI:1235215146
Name:CINTRON, MARIEDNA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIEDNA
Middle Name:
Last Name:CINTRON
Suffix:
Gender:F
Credentials:DMD
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 1992
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-1992
Mailing Address - Country:US
Mailing Address - Phone:787-256-0190
Mailing Address - Fax:787-256-0190
Practice Address - Street 1:SUPERCENTRO LA MUDA
Practice Address - Street 2:CARR.169 KM 9.2 BO. CAMARONES
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-0000
Practice Address - Country:US
Practice Address - Phone:787-790-1781
Practice Address - Fax:787-790-1781
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR25881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice