Provider Demographics
NPI:1477679140
Name:PINEIRO, MARIA DEL MAR (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL MAR
Last Name:PINEIRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 CALLE CORAL
Mailing Address - Street 2:COND LAGO PLAYA APT 1611
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3047
Mailing Address - Country:US
Mailing Address - Phone:787-444-6292
Mailing Address - Fax:
Practice Address - Street 1:3000 CALLE CORAL
Practice Address - Street 2:COND LAGO PLAYA APT 1611
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-3047
Practice Address - Country:US
Practice Address - Phone:787-444-6292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16104208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice