IndividualActive
Deogracias Pena, MD
NPI 1669483855 · Pediatric Nephrology Physician · Orlando, FL
Provider details
- NPI number
- 1669483855
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- J9778 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
615 E Princeton St
Suite 401
Orlando, FL 32803-1456
Phone: (407) 303-9311
Fax: (407) 303-9273
Approximate (ZIP-level) locationGet directions
Mailing address
615 E Princeton St
Orlando, FL 32803-1456
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2014-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.