Pena, Deogracias R
Pena, Deogracias R is an individual health care provider with primary practice located at 615 E Princeton St Suite 401, Orlando FL 32803-1456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Pena, Deogracias R can be contacted via phone (407) 303-9311.Contact Information
Primary practice address
615 E Princeton St Suite 401
Orlando FL 32803-1456
Phone: (407) 303-9311
Fax: (407) 303-9273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | J9778 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | ME56326 | Florida |
Profile Details
| NPI number | 1669483855 |
|---|---|
| LBN Legal business name | Pena, Deogracias R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Sep 6th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669483855 | NPPES |
| Texas | Other | 1443501 | UHC PIN |
| Texas | Other | 1750369203 | UHC PIN |
| Texas | Other | 10010075 | UHC PIN |
| Texas | Other | 5056081 | UHC PIN |
| Texas | Other | 75208965 | UHC PIN |
| Texas | Other | 87Y112 | UHC PIN |
| Texas | Other | 109517 | UHC PIN |
| Texas | Other | 121266102 | UHC PIN |
| Texas | MEDICAID | 133426012 | UHC PIN |
| Texas | Other | 00U87Z | UHC PIN |
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