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NPI Code Detail

MEDICARE: GRETZA M. PINEIRO PSY. D.

MEDICARE: GRETZA M. PINEIRO PSY. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist2279PR

General Provider Information

NPI Number : 1629202098
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETZA M. PINEIRO PSY. D.
Provider Business Mailing Address
First Line : PO BOX 199
Second Line :
City : JUNCOS
State : PR
Zip : 00777-0199
Country : US
Telephone Number : 787-415-6249
Fax Number :
Provider Business Practice Location Address
First Line : D12 CALLE MIS AMORES
Second Line : URB. SAN ALFONSO
City : CAGUAS
State : PR
Zip : 00725-5821
Country : US
Telephone Number : 787-930-3144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2009
Last Update Date : 04/06/2016

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