Provider Demographics
NPI:1811191935
Name:CINTRON, MIGUEL ANGEL (MD)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:ANGEL
Last Name:CINTRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MIGUEL
Other - Middle Name:ANGEL
Other - Last Name:CINTRON CARABALLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:909 MARQUEE DR
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-6521
Mailing Address - Country:US
Mailing Address - Phone:352-536-2029
Mailing Address - Fax:
Practice Address - Street 1:846 NE 54TH TERRACE BOX 1029
Practice Address - Street 2:CORRECTIONAL COMPLEX COLEMAN MEDIUM
Practice Address - City:COLEMAN
Practice Address - State:FL
Practice Address - Zip Code:33521-1029
Practice Address - Country:US
Practice Address - Phone:352-689-5103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR012066207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology