Basic Information
Provider Information
NPI: 1841732906
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CINTRON-TORRES
FirstName: RAMON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 424 S MAIN ST
Address2:  
City: FORKED RIVER
State: NJ
PostalCode: 087314654
CountryCode: US
TelephoneNumber: 6099713500
FaxNumber: 6099713545
Practice Location
Address1: 424 S MAIN ST
Address2:  
City: FORKED RIVER
State: NJ
PostalCode: 087314654
CountryCode: US
TelephoneNumber: 6099713500
FaxNumber: 6099713545
Other Information
ProviderEnumerationDate: 11/07/2016
LastUpdateDate: 11/07/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111N00000X38MC00738600NJY Chiropractic ProvidersChiropractor 

No ID Information.


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