Provider Demographics
NPI:1013279769
Name:PINERO CORREA, ROSARIO MAIRYM I (DDS)
Entity type:Individual
Prefix:DR
First Name:ROSARIO
Middle Name:MAIRYM
Last Name:PINERO CORREA
Suffix:I
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 N ALTERNATE A1A STE 106
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33469-3227
Mailing Address - Country:US
Mailing Address - Phone:561-770-3000
Mailing Address - Fax:
Practice Address - Street 1:1405 N ALTERNATE A1A STE 106
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33469-3227
Practice Address - Country:US
Practice Address - Phone:561-770-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FL217001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst