Provider Demographics
NPI:1255816518
Name:PINEDA, LESTER ALEXANDER (RN)
Entity type:Individual
Prefix:MR
First Name:LESTER
Middle Name:ALEXANDER
Last Name:PINEDA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8831 SW 203RD TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2659
Mailing Address - Country:US
Mailing Address - Phone:305-336-2209
Mailing Address - Fax:
Practice Address - Street 1:8831 SW 203RD TER
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-2659
Practice Address - Country:US
Practice Address - Phone:305-336-2209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-02
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9331048163W00000X
FLAPRN11001091367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse