Individual
DR. EDGARDO RAUL CINTRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 CAMINO DEL RIO N., STE. 200, SAN DIEGO, CA 92108
(619) 299-3113
(619) 299-0766
Mailing address
1640 CAMINO DEL RIO N., STE. 200, SAN DIEGO, CA 92108
(619) 299-3113
(619) 299-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2051
AZ
152W00000X
Optometrist
Primary
33413-TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033252
—
AZ
01
—
Z178239
MEDICARE PTAN
AZ
01
—
Z178240
MEDICARE PTAN
AZ
01
—
Z178241
MEDICARE PTAN
AZ
01
—
Z178242
MEDICARE PTAN
AZ
01
—
Z178243
MEDICARE PTAN
AZ
01
—
Z178244
MEDICARE PTAN
AZ
Enumeration date
07/01/2015
Last updated
02/21/2018
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