Provider Demographics
NPI:1578836250
Name:PINILLA, ANA RITA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:RITA
Last Name:PINILLA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 CALLE BETANCES FNL
Mailing Address - Street 2:LOCAL # 3
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-5387
Mailing Address - Country:US
Mailing Address - Phone:787-653-5105
Mailing Address - Fax:
Practice Address - Street 1:200 AVE RAFAEL CORDERO
Practice Address - Street 2:SUITE 140
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3740
Practice Address - Country:US
Practice Address - Phone:787-653-5105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-11
Last Update Date:2012-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR469103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical