Provider Demographics
NPI:1467090613
Name:PINERO, LINNETTE DEL CARMEN (MPSY)
Entity Type:Individual
Prefix:
First Name:LINNETTE
Middle Name:DEL CARMEN
Last Name:PINERO
Suffix:
Gender:F
Credentials:MPSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D7 CALLE KRUEGER
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2150
Mailing Address - Country:US
Mailing Address - Phone:787-408-0406
Mailing Address - Fax:
Practice Address - Street 1:D7 CALLE KRUEGER
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2150
Practice Address - Country:US
Practice Address - Phone:787-408-0406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6407103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist