Basic Information
Provider Information
NPI: 1720241771
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CINTRON
FirstName: DEBORAH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P O BOX 11913
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009221913
CountryCode: US
TelephoneNumber: 7879990753
FaxNumber: 7879990789
Practice Location
Address1: 2213 PONCE BY PASS
Address2: 5TH FLOOR
City: PONCE
State: PR
PostalCode: 007171318
CountryCode: US
TelephoneNumber: 7872594427
FaxNumber: 7878417228
Other Information
ProviderEnumerationDate: 07/09/2008
LastUpdateDate: 03/28/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080N0001X11156PRY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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