Provider Demographics
NPI:1790433191
Name:PINERO MOLINA, DANIELA MARTHA (SLP)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:MARTHA
Last Name:PINERO MOLINA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 800661
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-0661
Mailing Address - Country:US
Mailing Address - Phone:787-410-0526
Mailing Address - Fax:
Practice Address - Street 1:URB PUERTO GALEXDA
Practice Address - Street 2:21 CALLE FLAMENCO
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624-9407
Practice Address - Country:US
Practice Address - Phone:787-410-0526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004062235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist