Provider Demographics
NPI:1407192933
Name:CINTRON BURGOS, JOSE (MSPT)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:
Last Name:CINTRON BURGOS
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8040 NW 95TH ST
Mailing Address - Street 2:STE 223-224
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2362
Mailing Address - Country:US
Mailing Address - Phone:941-587-9386
Mailing Address - Fax:305-675-7929
Practice Address - Street 1:8040 NW 95TH ST STE 223-224
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-2362
Practice Address - Country:US
Practice Address - Phone:941-587-9386
Practice Address - Fax:941-587-9386
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT30329225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT30329OtherFL DOH