Provider Demographics
NPI:1275823825
Name:MIGUEL A. CINTRON M.D.P.C.
Entity Type:Organization
Organization Name:MIGUEL A. CINTRON M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:718-335-0628
Mailing Address - Street 1:7116 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-1823
Mailing Address - Country:US
Mailing Address - Phone:718-335-0628
Mailing Address - Fax:718-335-6957
Practice Address - Street 1:7116 GRAND AVE
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-1823
Practice Address - Country:US
Practice Address - Phone:718-335-0628
Practice Address - Fax:718-335-6957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-17
Last Update Date:2011-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191997207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY44J311OtherBC/BS
NY100013782101OtherUHC MC AID
NY100015649OtherUHC RR MEDICARE
NY191997SOtherHIP HEALTHCARE PARTNERS
NY128412OtherWELLCARE
NY6C8850OtherHEALTHNET
NY01633114Medicaid
NY1373821OtherUNITED HC
NY9337734015OtherCIGNA PAL
NY2571952OtherAETNA
NY9624693OtherGHI
NY450148OtherHERITAGE
NY0H029POtherHIP PRIS
NYNS4545OtherOXFORD
NY100137382101OtherAMERICHOICE AID
NY44J311OtherBC/BS
NY128412OtherWELLCARE