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NPI Code Detail

MEDICARE: GUILLERMO ENRIQUE PINEDA M.D.

MEDICARE: GUILLERMO ENRIQUE PINEDA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician22779SC
2207RI0011XInterventional Cardiology Physician22779SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205920709
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUILLERMO ENRIQUE PINEDA M.D.
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number :
Fax Number : 803-296-7330
Provider Business Practice Location Address
First Line : 8 RICHLAND MEDICAL PARK DR STE 100
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-8006
Country : US
Telephone Number : 803-434-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 06/14/2024

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