Provider Demographics
NPI:1083617567
Name:PINTO, MARIA SOLEDAD (PSYD(C))
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:SOLEDAD
Last Name:PINTO
Suffix:
Gender:F
Credentials:PSYD(C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 COND TORRES DE ANDALUCIA II
Mailing Address - Street 2:1504
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-539-1705
Mailing Address - Fax:787-758-1705
Practice Address - Street 1:TORRE DOCTORS'CENTER
Practice Address - Street 2:201-202 SUITE
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-539-1705
Practice Address - Fax:787-758-1705
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1125103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical