Organization Active NPI

Dr Kenneth Cintron CSP

  • Orthopaedic Foot and Ankle Surgery Physician
  • Bayamon, PR
National Provider Identifier
1417919903
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
11797 Issued in PR
Legal business name
DR KENNETH CINTRON CSP
Practice address
Carimed Plaza
B1 Calle Santa Cruz
Bayamon, PR 00961-6928
Phone
(787) 798-4989
Fax
(787) 798-4988
NPI assigned
Apr 3, 2006
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Cintron Velazquez Sr., MDNPI 1023196052
Title
President
Phone
(787) 798-4989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0004X 11797 PR Primary

Addresses

Primary practice location

Carimed Plaza
B1 Calle Santa Cruz
Bayamon, PR 00961-6928

Mailing address

401 Dorado Beach East
Dorado, PR 00646-2221
Phone (787) 798-4989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090223000424 PR Part B Supplier - Clinic/Group Practice 1658436829 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

2225 Ponce Byp
Ste 805
Ponce, PR 00717
Phone (718) 710-6342

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1417919903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DORADO BEACH EAST",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462221",
            "telephone_number": "787-798-4989",
            "fax_number": "787-798-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIMED PLAZA",
            "address_2": "B1 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616928",
            "telephone_number": "787-798-4989",
            "fax_number": "787-798-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KENNETH CINTRON CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "CINTRON VELAZQUEZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-798-4989",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "PR",
            "license": "11797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.