Provider Demographics
NPI:1033616693
Name:PINEIRO, ANETTE AILINE (OT)
Entity Type:Individual
Prefix:
First Name:ANETTE
Middle Name:AILINE
Last Name:PINEIRO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:ANETTE
Other - Middle Name:AILINE
Other - Last Name:PINEIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:SAN ANTONIO DE LA TUNA
Mailing Address - Street 2:1523 AVE MABODAMACA
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662
Mailing Address - Country:US
Mailing Address - Phone:787-505-3988
Mailing Address - Fax:
Practice Address - Street 1:349 HOSTOS SANTANDER SECURITIES PLAZA
Practice Address - Street 2:SUITE 104
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-265-2300
Practice Address - Fax:787-831-1714
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR693225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist