Provider Demographics
NPI:1548836885
Name:CINTRON PEREZ, TANIA MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:TANIA
Middle Name:MARIE
Last Name:CINTRON PEREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7063 PR-187 CONDOMINIO PLAYA SERENA
Mailing Address - Street 2:APTO 1201 NORTE
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979
Mailing Address - Country:US
Mailing Address - Phone:787-379-7272
Mailing Address - Fax:
Practice Address - Street 1:7063 PR-187 CONDOMINIO PLAYA SERENA
Practice Address - Street 2:APTO 1201 NORTE
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-379-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4421120OtherDRIVER'S LICENSE