Sully Cintron, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

Departamento de Salud de Puerto Rico
San Juan, PR 00936

Phone

(787) 765-2929

NPI assigned

Apr 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sully Cintron Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1760061311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 04 BOX 12128",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006989695",
            "telephone_number": "787-930-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTAMENTO DE SALUD DE PUERTO RICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-765-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINTRON",
        "first_name": "SULLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS ID",
            "identifier": "778030",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SULLY",
            "last_name": "CINTRON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hector Ivan Cintron, PHARM.D.
• Katherine Johanna Cintron, MS SLP
• Lourdes Maria Cintron, MSW
• Maritza Cintron
• Noel Efren Cintron, BS,RRT
• Victor Cintron
• Carla Michelle Cirino, M.D.
• Dinorah Cirino, MSW
• Cirugia Oral Y Maxilofacial El Senorial
• Cirugia Oral Y Maxilofacial Metropolitana C S P

• Medical Physician Assistant in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.