DEOGRACIAS R PENA MD NPI 1669483855

NPI Information

Deogracias R Pena, MD is a pediatric nephrology pediatrics in Orlando, FL with 42 years of experience. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Deogracias R Pena, MD NPI is 1669483855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

615 E PRINCETON ST
SUITE 401
ORLANDO, FL
ZIP 32803-456
Phone: (407) 303-9311
Fax: (407) 303-9273

The NPI 1669483855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 9/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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