Provider Demographics
NPI:1003272394
Name:PIZARRO, YANIRA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:YANIRA
Middle Name:
Last Name:PIZARRO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 8292
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00960
Mailing Address - Country:UM
Mailing Address - Phone:1787-904-0715
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO MARINA III
Practice Address - Street 2:APT. 802 C/ RAMON MARCHAND
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-2884
Practice Address - Country:US
Practice Address - Phone:178-790-4071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-03
Last Update Date:2016-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YA0400X, 101YP2500X, 106H00000X
PR102541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist