Basic Information
Provider Information
NPI: 1184001281
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CINTRON
FirstName: GABRIEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: PO BOX 560825
Address2:  
City: DENVER
State: CO
PostalCode: 802560825
CountryCode: US
TelephoneNumber: 7195957580
FaxNumber: 7195450176
Practice Location
Address1: 400 WEST 16TH STREET
Address2:  
City: PUEBLO
State: CO
PostalCode: 810032745
CountryCode: US
TelephoneNumber: 7195844921
FaxNumber: 7195957994
Other Information
ProviderEnumerationDate: 04/28/2015
LastUpdateDate: 05/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XBP10052605TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XDR.0062345COY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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