Provider Demographics
NPI:1982031175
Name:CINTRON, LISETTE MILAGROS (ARNP)
Entity type:Individual
Prefix:
First Name:LISETTE
Middle Name:MILAGROS
Last Name:CINTRON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 EDGEWATER DR # 775
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6350
Mailing Address - Country:US
Mailing Address - Phone:904-776-6514
Mailing Address - Fax:775-490-0184
Practice Address - Street 1:1317 EDGEWATER DR # 775
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-6350
Practice Address - Country:US
Practice Address - Phone:904-776-6514
Practice Address - Fax:775-490-0184
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP-3289552363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFL DOHOtherARNP-3289552