Provider Demographics
NPI:1790961506
Name:PINTADO, LILLIAN ROCIO (MS-A)
Entity Type:Individual
Prefix:MRS
First Name:LILLIAN
Middle Name:ROCIO
Last Name:PINTADO
Suffix:
Gender:F
Credentials:MS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 40227
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9732
Mailing Address - Country:US
Mailing Address - Phone:787-738-8890
Mailing Address - Fax:787-738-8890
Practice Address - Street 1:20 AVE ANTONIO R BARCELO
Practice Address - Street 2:SIERRA CAYEY MALL SUITE 212
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-4105
Practice Address - Country:US
Practice Address - Phone:787-738-8890
Practice Address - Fax:787-738-8890
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR574231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist