Cintrón's victory over N'dou made him Joshua Clottey's mandatory challenger. The fight was discussed and preliminary agreements scheduled it for February 21, 2009. However, after receiving a more lucrative offer, Cintrón decided to fight Sergio Gabriel Martínez for the World Boxing Council's interim light middleweight championship. The bout took place on February 14, 2009, and ended in a controversial majority draw. The opening rounds held no meaningful action, with Cintrón holding an early edge due to his aggression and cleaner punching. By the fourth round, Martínez started moving around with his hands down in an effort to draw Cintrón into a mistake, but to no avail, as there continued to be more clinching than punching. Martínez opened a cut over Cintrón's left eye early in the fifth round. Late in the seventh round, a left hand to the head hurt Cintrón, and after backing into the ropes, he went down to his knees before Martínez could attack. Cintrón claimed he was headbutted while the referee Frank Santore continued the count. After Cintrón's protests and a lot of confusion in the ring, Santore allowed the bout to continue, saying Cintrón was up at nine and that he never stopped the fight. Martínez went after Cintrón once the eighth round commenced and taunted him after landing punches to the head. Cintrón responded with sustained action of his own, but it was Martínez ending the round with another left hand to the head. The ninth round was favorable for Martínez, but Cintrón rebounded in the tenth round. Martínez lost a point for a punch to the back of the head in the final round. Scores were 116-110 for Martínez and 113-113 draw.
On May 30, 2009 Cintron defeated Alfredo Angulo, who was unbeaten, by unanimous decision. This high-profile win put Cintrón into position to fight Paul Williams, at the time one of boxing's top fighters, pound for pound. This fight took place on May 8, 2010. Although Williams had averaged over a hundred punches per round in his previous outings, Cintrón was able to neutralize his punch output over the first three rounds by effectively jabbing and countering with his right hand. This resulted in a very technical three rounds of boxing and, not surprisingly, voluminous jeers from the spectating crowd. In the fourth round, however, the combatants began to exchange punches, each landing hard power punches on one another. One such exchange caused an entanglement between the fighters, sending Williams to the canvas and Cintrón through the ropes, where he landed on a media table abutting the exterior of the ring. He then fell to the floor and was immediately attended to by ringside doctors. Boxing rules dictate that a fighter, in these circumstances, is afforded a five-minute period with which to recover; however, given that Cintrón was advised by doctors not to move, the fight was called and Cintrón was removed from the arena bound to a stretcher. Since three rounds had been completed, the fight became official and Williams was declared the winner by split decision.