Provider Demographics
NPI:1346591773
Name:SANTIAGO-PINEIRO, LINNETTE MARIE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINNETTE
Middle Name:MARIE
Last Name:SANTIAGO-PINEIRO
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 PRESERVE DR
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8628
Mailing Address - Country:US
Mailing Address - Phone:787-310-7391
Mailing Address - Fax:
Practice Address - Street 1:1022 PRESERVE DR
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33896-8628
Practice Address - Country:US
Practice Address - Phone:787-310-7391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 12778235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist