Active NPI
Jose Luis Cintron, M.D.
- Ph.D. Medical Genetics
- Fajardo, PR
National Provider Identifier
1154474534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- 6957
- Practice address
- Ave Osvaldo Molina #151
Suite 102
Fajardo, PR 00738 - Phone
- (787) 860-0965
- Fax
- (787) 860-0965
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | 6957 | PR | Primary |
Addresses
Primary practice location
Ave Osvaldo Molina #151
Suite 102
Fajardo, PR 00738
Mailing address
151 Ave Osvaldo Molina Ste 102
Fajardo, PR 00738-4013
Phone (787) 860-0965
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1103 | Other | PR | IMC |
| 6480064 | Other | PR | HUMANA |
| 209171 | Other | PREFERRED UTI | |
| 2321 | Other | PR | AMERICANHEALTH |
| 332755023 | Other | PR | PROSAM |
| 067587 | Other | PR | CRUZ AZUL |
| 27926 | Other | PR | TRIPLE S |
| 376957 | Other | PR | UIA |
| PE2054 | Other | PR | PALICPROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210405001445 | PR | Practitioner - Obstetrics/Gynecology | 1153613104 | Practice locations: Fajardo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6957 | PR | MD | Ph.D. Medical Genetics |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caribe Physicians Plaza Corporation | Past | Accepting new patients | |
| Victan OB. Group, Corp | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Fajardo, PR
- NPI 1225315575
-
- General Acute Care Hospital
- Fajardo, PR
- NPI 1215051404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1154474534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 AVE OSVALDO MOLINA STE 102",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007384013",
"telephone_number": "787-860-0965",
"fax_number": "787-860-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE OSVALDO MOLINA #151",
"address_2": "SUITE 102",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-860-0965",
"fax_number": "787-860-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CINTRON",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "PR",
"license": "6957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC",
"identifier": "1103",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "6480064",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED UTI",
"identifier": "209171",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICANHEALTH",
"identifier": "2321",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROSAM",
"identifier": "332755023",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "067587",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "27926",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "376957",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALICPROVIDER",
"identifier": "PE2054",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fajardo, PR
- Centro Neumologico del Este CSP
- Centro Podiatrico Dr. Rivera Esquerdo PSC
- Centro Senologia Dra Magda Costa
- Jean-Luc Charlot, MD
- Carmen Cintron, RDN, LND, IBCLC
- Cirugia General Y Periferovascular del Noreste, CSP
- Cita-Med Inc
- Milagros Y Claudio, OP
- Clinica de Servicios Psicologicos Despertar LLC
- Clinica Quiropractica Atletica Y Regenerativa LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.