Provider Demographics
NPI:1427084888
Name:CINTAS, ALEJANDRO R (MD)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:R
Last Name:CINTAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 WEBB RD STE 301
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-2866
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6101 WEBB RD STE 301
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-2866
Practice Address - Country:US
Practice Address - Phone:813-885-3600
Practice Address - Fax:813-885-4600
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0080234207R00000X
FLME80234207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL259401300Medicaid
FL259401300Medicaid
FLE5738Medicare ID - Type Unspecified