Provider Demographics
NPI:1982031175
Name:CINTRON, LISETTE MILAGROS (ARNP)
Entity Type:Individual
Prefix:
First Name:LISETTE
Middle Name:MILAGROS
Last Name:CINTRON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11512 LAKE MEAD AVE UNIT 302
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9685
Mailing Address - Country:US
Mailing Address - Phone:904-900-3472
Mailing Address - Fax:904-503-2373
Practice Address - Street 1:11512 LAKE MEAD AVE UNIT 302
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256
Practice Address - Country:US
Practice Address - Phone:904-900-3472
Practice Address - Fax:904-503-2373
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP-3289552363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFL DOHOtherARNP-3289552