Provider Demographics
NPI:1821415027
Name:CINTRON VILLA, PAOLA A
Entity Type:Individual
Prefix:
First Name:PAOLA
Middle Name:A
Last Name:CINTRON VILLA
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:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468
Mailing Address - Country:US
Mailing Address - Phone:561-932-0995
Mailing Address - Fax:561-406-6067
Practice Address - Street 1:21110 BISCAYNE BLVD STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1251
Practice Address - Country:US
Practice Address - Phone:305-948-9595
Practice Address - Fax:305-948-9292
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME128059207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine