Provider Demographics
NPI:1659133536
Name:HERNANDEZ-PINERO, SUMARY (COMM HEALTH WORKER)
Entity Type:Individual
Prefix:
First Name:SUMARY
Middle Name:
Last Name:HERNANDEZ-PINERO
Suffix:
Gender:F
Credentials:COMM HEALTH WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2456 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-4333
Mailing Address - Country:US
Mailing Address - Phone:734-265-0652
Mailing Address - Fax:
Practice Address - Street 1:2456 10TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-4333
Practice Address - Country:US
Practice Address - Phone:734-265-0652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker