Provider Demographics
NPI:1275537292
Name:ORTIZ CINTRON, WINSTON R (MD)
Entity Type:Individual
Prefix:
First Name:WINSTON
Middle Name:R
Last Name:ORTIZ 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 1:8133 CONCORDIA
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1543
Mailing Address - Country:US
Mailing Address - Phone:787-848-0555
Mailing Address - Fax:787-840-7992
Practice Address - Street 1:8133 CONCORDIA
Practice Address - Street 2:SUITE 201
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1543
Practice Address - Country:US
Practice Address - Phone:787-848-0555
Practice Address - Fax:787-840-7992
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18332084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD08603Medicare UPIN
PR9-1513Medicare ID - Type Unspecified