Provider Demographics
NPI:1851723928
Name:PINERO DE LA ROSA, YELEDYS (BA)
Entity Type:Individual
Prefix:MS
First Name:YELEDYS
Middle Name:
Last Name:PINERO DE LA ROSA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9502 SW 166TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4875
Mailing Address - Country:US
Mailing Address - Phone:786-316-6083
Mailing Address - Fax:
Practice Address - Street 1:9502 SW 166TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4875
Practice Address - Country:US
Practice Address - Phone:786-316-6083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health