Provider Demographics
NPI:1942615844
Name:CINTRON COLON, DENISE (PSYM)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:CINTRON COLON
Suffix:
Gender:F
Credentials:PSYM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 CALLE MAYAGUEZ
Mailing Address - Street 2:COND. TORRELINDA, APTO 1102
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-5109
Mailing Address - Country:US
Mailing Address - Phone:787-685-0878
Mailing Address - Fax:
Practice Address - Street 1:85 CALLE MAYAGUEZ
Practice Address - Street 2:COND. TORRELINDA, APTO 1102
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5109
Practice Address - Country:US
Practice Address - Phone:787-685-0878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3364103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling