Healthcare Provider Details

I. General information

NPI: 1336868793
Provider Name (Legal Business Name): ZYDNIA NAHIR PINEIRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SAN JUAN CITY HOSPITAL CENTRO MEDICO DE PUERTO RICO, BO. MONACILLOS
SAN JUAN PR
00921
US

IV. Provider business mailing address

SAN JUAN CITY HOSPITAL CENTRO MEDICO DE PUERTO RICO, BO. MONACILLOS
SAN JUAN PR
00917
US

V. Phone/Fax

Practice location:
  • Phone: 787-480-2700
  • Fax:
Mailing address:
  • Phone: 787-480-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number24928
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: