Provider Demographics
NPI:1336970490
Name:CINTRON RODRIGUEZ, CHRISTIAN JOEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:JOEL
Last Name:CINTRON RODRIGUEZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 5 BOX 13835
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-9331
Mailing Address - Country:US
Mailing Address - Phone:939-334-0627
Mailing Address - Fax:
Practice Address - Street 1:HC 5 BOX 13835
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-9331
Practice Address - Country:US
Practice Address - Phone:939-334-0627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7929103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty