Deogracias R Pena
MD | Pediatric Nephrology | Male
Deogracias R Pena, MD is a Orlando, Florida based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Deogracias R Pena is
615 E Princeton St, Suite 401, Orlando, Florida - 32803-1456. He can be contacted on phone at
407-303-9311 and fax number 407-303-9273.
Deogracias R Pena is a sole proprietor of his business.
NPI number (Unique professional ID) for Deogracias R Pena is
1669483855 which was assigned by NPPES on 11 Aug, 2006 and it was last updated on 06 Sep, 2014.
Deogracias R Pena license number is
ME56326 for Pediatrics Pediatric Nephrology (2080P0210X) in Florida.
Deogracias R Pena 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.
Complete Profile:
Deogracias R Pena basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Deogracias R Pena |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Deogracias R Pena address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 615 E Princeton St, Suite 401
Orlando, FL, 32803-1456
United States |
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| Phone Number : | 407-303-9311 |
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| Fax Number : | 407-303-9273 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669483855 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Aug, 2006 |
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| Last Updated On : | 06 Sep, 2014 |
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Medicare Participation:
Deogracias R Pena participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5799756623 |
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| Medicare Enrollment ID : | I20140814000993 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1982 |
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| Accepts Medicare? | Yes. Deogracias R Pena accepts medicare insurance. |
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Group Practice Association:
Deogracias R Pena is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Deogracias R Pena is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Florida Hospital Medical Group Inc | 0749186153 | 1116 | 2600 Westhall Ln
Fl 4
Maitland, FL - 327517102
Ph: 4072002700 | Yes |
| Florida Hospital Medical Group Inc | 0749186153 | 1116 | 601 E Rollins St
Orlando, FL - 328031248 | Yes |
| Florida Hospital Medical Group Inc | 0749186153 | 1116 | 615 E Princeton St
Orlando, FL - 328031469 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deogracias R Pena are as mentioned. Primary taxonomy code for Deogracias R Pena, MD is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0210X | Pediatrics Pediatric Nephrology | No | J9778 | TX |
| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | ME56326 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Deogracias R Pena such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00U87Z | Other | TX | BCBSTX GRP PIN |
| 109517 | Other | TX | SUPERIOR PIN |
| 5056081 | Other | TX | AETNA PIN |
| 1750369203 | Other | | GRP NPI NUMBER |
| 75208965 | Other | TX | CIGNA PIN |
| 87Y112 | Other | TX | BCBSTX PIN |
| 121266102 | Other | TX | FIRSTCARE PIN |
| 1443501 | Other | TX | UHC PIN |
| 10010075 | Other | TX | AMERIGROUP PIN |
| 133426012 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 615 E Princeton St, Suite 401
Orlando, FL, 32803-1456
United States |
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| Phone Number : | 407-303-9311 |
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| Fax Number : | 407-303-9273 |
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Business Location:
Patients can refer following map for directions to
Deogracias R Pena practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.