Provider Demographics
NPI:1689363038
Name:CINTRON, PAOLA NICOLE (PSYC)
Entity Type:Individual
Prefix:MISS
First Name:PAOLA
Middle Name:NICOLE
Last Name:CINTRON
Suffix:
Gender:F
Credentials:PSYC
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 5106
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-5106
Mailing Address - Country:US
Mailing Address - Phone:787-475-5796
Mailing Address - Fax:
Practice Address - Street 1:CARR 110 KM 24.2
Practice Address - Street 2:PLAZA CABAN LOCAL#3
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00605-0060
Practice Address - Country:US
Practice Address - Phone:787-475-5796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7330103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling