Provider Demographics
NPI:1275661480
Name:CINTRON-SUAREZ, DENISSE M
Entity Type:Individual
Prefix:
First Name:DENISSE
Middle Name:M
Last Name:CINTRON-SUAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB PARQUES DE GUASIMAS
Mailing Address - Street 2:ST A-11
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00723
Mailing Address - Country:US
Mailing Address - Phone:787-839-5003
Mailing Address - Fax:
Practice Address - Street 1:URB PARQUES DE GUASIMAS
Practice Address - Street 2:ST A-11
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00723
Practice Address - Country:US
Practice Address - Phone:787-839-5003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18107183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician