Provider Demographics
NPI:1548693591
Name:CINTRON NIEVES, SAIRA
Entity type:Individual
Prefix:MISS
First Name:SAIRA
Middle Name:
Last Name:CINTRON NIEVES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE GROENLANDIA #862 A-ALTOS
Mailing Address - Street 2:URBANIZACIO COUNTRY CLUB
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-662-5270
Mailing Address - Fax:
Practice Address - Street 1:URB VALLE ARRIBA HEIGHTS AB18 CALLE MORERA
Practice Address - Street 2:AVE MONSERRATE LOCAL
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-662-5270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004589103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist