Individual provider · Type 1 NPI
Juan Pineda Lopez, MD
General Practice Physician · Orlando, FL
NPI number
1104292846
Active
Practice location
5564 E Grant Street
Orlando, FL 32822-5301
Fax (321) 235-6246
Mailing address
5564 E. Grant Street
Orlando, FL 32822-5301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | ACN683 (FL) |
| General Practice Physician | 208D00000X | 18959 (PR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1104292846
Juan Pineda Lopez, MD's National Provider Identifier is 1104292846, issued on Aug 17, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Orlando, FL. The record was last updated on Jan 11, 2017.