Provider Demographics
NPI:1740259456
Name:PINEDA, HORTENSIA
Entity type:Individual
Prefix:MRS
First Name:HORTENSIA
Middle Name:
Last Name:PINEDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12811 SW 43RD DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-4179
Mailing Address - Country:US
Mailing Address - Phone:305-485-8431
Mailing Address - Fax:305-485-8431
Practice Address - Street 1:12811 SW 43RD DR
Practice Address - Street 2:121A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-4179
Practice Address - Country:US
Practice Address - Phone:305-485-8431
Practice Address - Fax:305-485-8431
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging