Provider Demographics
NPI:1821705740
Name:CINTRON LUGO, YAJAIRA (PSY-D)
Entity Type:Individual
Prefix:
First Name:YAJAIRA
Middle Name:
Last Name:CINTRON LUGO
Suffix:
Gender:F
Credentials:PSY-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COMUNIDAD PUENTE DE JOBOS 42-37 CALLE2-A
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784-7240
Mailing Address - Country:US
Mailing Address - Phone:787-604-1267
Mailing Address - Fax:
Practice Address - Street 1:COMUNIDAD PUENTE DE JOBOS CARR. 3 KM 145.9
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-864-5233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2022-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0077831041C0700X
PR007137103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical