Provider Demographics
NPI:1508000696
Name:PINILLA, HERNAN
Entity Type:Individual
Prefix:
First Name:HERNAN
Middle Name:
Last Name:PINILLA
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 1:2877 INLET COVE LN W
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-7569
Mailing Address - Country:US
Mailing Address - Phone:239-834-7343
Mailing Address - Fax:239-433-6706
Practice Address - Street 1:2877 INLET COVE LN W
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-7569
Practice Address - Country:US
Practice Address - Phone:239-834-7343
Practice Address - Fax:239-433-6706
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker