Individual provider Active NPI

Jose A Lopez Cintron, MD

  • Obstetrics & Gynecology Physician
  • Orange City, FL
National Provider Identifier
1770536575
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME63977 Issued in FL
Practice address
963 Town Center Dr Ste 200
Orange City, FL 32763-8254
Phone
(386) 774-9890
Fax
(386) 774-9912
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME63977 FL Primary

Addresses

Primary practice location

963 Town Center Dr Ste 200
Orange City, FL 32763-8254

Mailing address

PO Box 741044
Orange City, FL 32774-1044
Phone (386) 774-9890

Other identifiers 1

IdentifierTypeStateIssuer
375402200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000583 FL Practitioner - Obstetrics/Gynecology 3072565944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ponce School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

963 Town Ctr Dr
Suite 200
Orange City, FL 32763-8254
Phone (386) 774-9890

Hospital & facility affiliations

  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1770536575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741044",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327741044",
            "telephone_number": "386-774-9890",
            "fax_number": "386-774-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 TOWN CENTER DR STE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638254",
            "telephone_number": "386-774-9890",
            "fax_number": "386-774-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ CINTRON",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME63977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375402200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.