Individual
SULLY CINTRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
DEPARTAMENTO DE SALUD DE PUERTO RICO, SAN JUAN, PR 00936
(787) 765-2929
Mailing address
HC 04 BOX 12128, YAUCO, PR 00698-9695
(787) 930-7086
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
778030
IRS ID
PR
Enumeration date
04/02/2021
Last updated
04/27/2021
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