Provider Demographics
NPI:1497537799
Name:PINTOS, JUAN FERNANDO
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:FERNANDO
Last Name:PINTOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VILLA UNIVERSITARIA
Mailing Address - Street 2:CALLE 25, AD-4
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-313-3717
Mailing Address - Fax:
Practice Address - Street 1:BARRIO JUAN SANCHEZ, ANTIGUO HOSPITAL MEPSI CENTER
Practice Address - Street 2:CARRETERA #2, KM 8.2
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-313-3717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health