Provider Demographics
NPI:1932496510
Name:PINEIRO, IRIS JEANNETTE (PSY D)
Entity Type:Individual
Prefix:DR
First Name:IRIS
Middle Name:JEANNETTE
Last Name:PINEIRO
Suffix:
Gender:F
Credentials:PSY D
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 1965
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-1965
Mailing Address - Country:US
Mailing Address - Phone:939-243-4047
Mailing Address - Fax:
Practice Address - Street 1:161 CALLE MARINA
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3214
Practice Address - Country:US
Practice Address - Phone:939-243-4047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4030103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical