Individual ProviderIdalina PinaCounselorBehavioral Health & Social Service ProvidersPractice Address504 Dudley St, Boston, MA 02119-2732(617) 445-6655PECOS EnrollmentBased on the most recent information from CMS, provider Idalina Pina does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1396514394Provider TypeIndividualFull NamePina, IdalinaGenderFemaleSole ProprietorNoEnumeration Date1/1/2024Last Updated1/1/2024Contact InformationPractice LocationPractice Address504 Dudley St, Boston, MA 02119-2732Phone(617) 445-6655FaxUnlisted FaxMailing LocationMailing Address504 Dudley St, Boston, MA 02119-2732PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer