Provider Demographics
NPI:1043044902
Name:CINTINO, YVONNE ROSE (RDN)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:ROSE
Last Name:CINTINO
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12641 LAZY MEADOW DR N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-3437
Mailing Address - Country:US
Mailing Address - Phone:904-861-5555
Mailing Address - Fax:
Practice Address - Street 1:BLDG 50 FARENHOLT AVE
Practice Address - Street 2:
Practice Address - City:AGANA HEISHTS
Practice Address - State:GU
Practice Address - Zip Code:96910
Practice Address - Country:US
Practice Address - Phone:671-344-9340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-31
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered