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Deogracias R Pena

Pediatric Nephrologist

615 E Princeton St Suite 401
Orlando , Florida 32803-1456

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Deogracias R Pena

Pediatric Nephrologist

615 E Princeton St Suite 401
Orlando , Florida 32803-1456

(407) 303-9273

Write a Review Save Call

Deogracias R Pena

Pediatric Nephrologist

615 E Princeton St Suite 401
Orlando , Florida 32803-1456

(407) 303-9273 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Nephrologist

Languages spoken

  • English

Location

615 E Princeton St Suite 401 Orlando , Florida 32803-1456

First Address

  • Deogracias R Pena
  • 615 E Princeton St Suite 401
  • Orlando, FL
  • Zip : 32803-1456
  • Fax : (407) 303-9273
  • Phone : (407) 303-9311

Second Address

  • Deogracias R Pena
  • 615 E Princeton St Suite 401
  • Orlando, FL
  • Zip : 32803-1456
  • Fax : (407) 303-9273
  • Phone : (407) 303-9311

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FAQs


Where did Deogracias R Pena attend graduate school?

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Where did Deogracias R Pena do his residency?

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Where did Deogracias R Pena do his fellowship?

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Is Deogracias R Pena board certified?

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What type of doctor is Deogracias R Pena

Pediatric Nephrologist

In what state does Deogracias R Pena practice in?

Florida

Where is Deogracias R Pena ’s practice located?

615 E Princeton St Suite 401 , Orlando, Florida, 32803-1456

What is Deogracias R Pena ’s gender?

Male

Is Deogracias R Pena a sole practitioner?

No

Is Deogracias R Pena accepting new patients?

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What languages does Deogracias R Pena speak?

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Does Deogracias R Pena accept insurance?

Yes, Deogracias R Pena accepts insurance

Does Deogracias R Pena offers telemedicine?

Deogracias R Pena has not indicated if he offers telemedicine

What is Deogracias R Pena ’s professional license number?

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What is Deogracias R Pena ’s NPI number?

1669483855

Does Deogracias R Pena have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 2080P0210X Pediatric Nephrologist J9778 TX
Y 2080P0210X Pediatric Nephrologist ME56326 FL

National Provider Identifier

NPI 1669483855
Provider Name Deogracias R Pena
First Address Orlando, FL 32803-1456
Second Address Orlando, FL 32803-1456
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 11/08/2006
Last Update Date 06/09/2014

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
00U87Z BCBSTX GRP PIN (01) TX
10010075 AMERIGROUP PIN (01) TX
109517 SUPERIOR PIN (01) TX
121266102 FIRSTCARE PIN (01) TX
133426012 (05) TX
1443501 UHC PIN (01) TX
1750369203 GRP NPI NUMBER (01)
5056081 AETNA PIN (01) TX
75208965 CIGNA PIN (01) TX
87Y112 BCBSTX PIN (01) TX
E91527 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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