Provider Demographics
NPI:1396730727
Name:CINTRON, CARMEN BEATRICE (DO)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:BEATRICE
Last Name:CINTRON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24822
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00824-0822
Mailing Address - Country:US
Mailing Address - Phone:340-227-7233
Mailing Address - Fax:757-483-9578
Practice Address - Street 1:2024 ESTATE MOUNT WELCOME
Practice Address - Street 2:STE 10
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-3610
Practice Address - Country:US
Practice Address - Phone:340-227-7233
Practice Address - Fax:757-483-9578
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI968207R00000X
NC9400447207R00000X
VA37197207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI207R00000XOtherTAXONOMY
0080272Medicare ID - Type Unspecified