Provider Demographics
NPI:1487256269
Name:YANIAT PINO-CHIRINO
Entity type:Organization
Organization Name:YANIAT PINO-CHIRINO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YANIAT
Authorized Official - Middle Name:
Authorized Official - Last Name:PINO-CHIRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-716-5855
Mailing Address - Street 1:9310 FORTAINEABLUE BLVD APTO 411
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:931 SW 122ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-2477
Practice Address - Country:US
Practice Address - Phone:786-716-5855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YANIAT PINOI- CHIRINO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-16
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRBT-20-116672OtherCERTIF RBT