Provider Demographics
NPI:1689990467
Name:CINTRON, EMMA ESPERANZA (M A)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:ESPERANZA
Last Name:CINTRON
Suffix:
Gender:F
Credentials:M A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 16020
Mailing Address - Street 2:BRISAS DE PALMASOLA
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703-8306
Mailing Address - Country:US
Mailing Address - Phone:787-248-2588
Mailing Address - Fax:
Practice Address - Street 1:MARINA PLAZA
Practice Address - Street 2:SUITE # 17
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-737-6493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3365103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling