Provider Demographics
NPI:1891062220
Name:PINEIRO VALENTIN, LYNNETTE M
Entity type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:M
Last Name:PINEIRO VALENTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 CALLE ANTHURIUM
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-4844
Mailing Address - Country:US
Mailing Address - Phone:787-632-0159
Mailing Address - Fax:
Practice Address - Street 1:603 AVE ESCORIAL
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4720
Practice Address - Country:US
Practice Address - Phone:787-632-0159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1059235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist