Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 0101250997 | VA |
Y | 207RP1001X | Pulmonary Disease | MD038151 | DC |
NPI | 1033378922 |
---|---|
Provider Name | Eldrige Flores Pineda |
First Address | Rockville, MD 20852-4908 |
Second Address | Washington, DC 20002-8100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2008 |
Last Update Date | 19/11/2021 |