MEDICARE: DR. RAMON PINEDA MD

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
1	2080A0000X	Pediatric Adolescent Medicine Physician	ME57338	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	593441343	OTHER	FL	EMPLOYER IDENTIFICATION #

General Provider Information

NPI Number	:	1760430656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMON PINEDA MD

Provider Business Mailing Address
First Line	:	814 N MAIN ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4564
Country	:	US
Telephone Number	:	407-935-1800
Fax Number	:	407-935-1303

Provider Business Practice Location Address
First Line	:	814 N MAIN ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4564
Country	:	US
Telephone Number	:	407-935-1800
Fax Number	:	407-935-1303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/16/2014

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