Provider Demographics
NPI:1013292556
Name:CINTRON, MILAGROS (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:MILAGROS
Middle Name:
Last Name:CINTRON
Suffix:
Gender:F
Credentials:PHARMACIST
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 1628
Mailing Address - Street 2:BO. MARICAO CARR.677 KM 2.5
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-1628
Mailing Address - Country:US
Mailing Address - Phone:787-474-6929
Mailing Address - Fax:787-474-6948
Practice Address - Street 1:ST. ROAD NO.2 KM 15.5
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-474-6929
Practice Address - Fax:787-474-6948
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist