Provider Demographics
NPI:1356227516
Name:CLINICA PSICOTERAPEUTICA PININOS LLC
Entity type:Organization
Organization Name:CLINICA PSICOTERAPEUTICA PININOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAIRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOEPZ ACEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:787-677-4514
Mailing Address - Street 1:PO BOX 8195
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-8195
Mailing Address - Country:US
Mailing Address - Phone:787-677-4514
Mailing Address - Fax:
Practice Address - Street 1:EDIF MICHELLE PLAZA
Practice Address - Street 2:1212 CALLE ACACIA STE 210
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2982
Practice Address - Country:US
Practice Address - Phone:787-224-3003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty