Provider Demographics
NPI:1235941337
Name:CINTRON, MELANIE (MBA)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:CINTRON
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 69 BOX 15544
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9872
Mailing Address - Country:US
Mailing Address - Phone:787-780-7383
Mailing Address - Fax:787-780-7389
Practice Address - Street 1:CARR.174 KM. 10.2
Practice Address - Street 2:SECTOR LA MORENITA BO .GUARAGUAO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-780-7383
Practice Address - Fax:787-780-7389
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09-F-25363336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR039961200Medicaid