Provider Demographics
NPI:1851836977
Name:PINEDA, CAROLINA (MA)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:PINEDA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 CLERK ST
Mailing Address - Street 2:2
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-2799
Mailing Address - Country:US
Mailing Address - Phone:973-220-4996
Mailing Address - Fax:
Practice Address - Street 1:295 CLERK ST
Practice Address - Street 2:2
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-2799
Practice Address - Country:US
Practice Address - Phone:973-220-4996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist