Provider Demographics
NPI:1013676527
Name:CINTRON TORRES, MARIA INES
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:INES
Last Name:CINTRON TORRES
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 1:303 N BRUNNELL PKWY APT 19
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33815-1244
Mailing Address - Country:US
Mailing Address - Phone:813-727-9289
Mailing Address - Fax:
Practice Address - Street 1:303 N BRUNNELL PKWY APT 19
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33815-1244
Practice Address - Country:US
Practice Address - Phone:181-372-7928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-12
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLG11000111514374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide