Provider Demographics
NPI:1972783165
Name:MAURA CINTAS, M.D., PA
Entity type:Organization
Organization Name:MAURA CINTAS, M.D., PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CINTAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-383-1902
Mailing Address - Street 1:9000 SW 137TH AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1436
Mailing Address - Country:US
Mailing Address - Phone:305-383-1902
Mailing Address - Fax:305-383-9443
Practice Address - Street 1:9000 SW 137TH AVE STE 204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1436
Practice Address - Country:US
Practice Address - Phone:305-383-1902
Practice Address - Fax:305-383-9443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208000000X, 363LF0000X
FLME0062160261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1073579959OtherNPI INDIVIDUAL
FL013915700Medicaid
FL1972783165OtherGROUP NPI
FL370990600Medicaid
FL378923302Medicaid
FL1427012624OtherNPI INDIVIDUAL
FL257911100Medicaid
FL379602700Medicaid
FL1023410511OtherNPI INDIVIDUAL
FL1174513683OtherNPI INDIVIDUAL
FL378923300Medicaid