Provider Demographics
NPI:1992302848
Name:CINTRON-TORRES, YAILINE MARIE (PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:YAILINE
Middle Name:MARIE
Last Name:CINTRON-TORRES
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
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 55
Mailing Address - Street 2:
Mailing Address - City:MERCEDITA
Mailing Address - State:PR
Mailing Address - Zip Code:00715-0055
Mailing Address - Country:US
Mailing Address - Phone:787-930-4647
Mailing Address - Fax:
Practice Address - Street 1:VILLA CAROLIN 143-1 CALLE 401
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-4022
Practice Address - Country:US
Practice Address - Phone:787-930-4647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6629103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist