Provider Demographics
NPI:1750103123
Name:CINTRON, LOURDES MARIA (MSW)
Entity type:Individual
Prefix:
First Name:LOURDES
Middle Name:MARIA
Last Name:CINTRON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 URB. MANSIONES DEL PARQUE CALLE 3
Mailing Address - Street 2:
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962
Mailing Address - Country:US
Mailing Address - Phone:787-635-0918
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 29025
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00929-0025
Practice Address - Country:US
Practice Address - Phone:787-767-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3844104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker