| Doctor Name: | JUAN PINEDA LOPEZ |
| NPI Number: | 1104292846 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 18959 |
| Business Practice Address: | 7824 Lake Underhill Rd Suite A Orlando, FL - 328228201 |
| Business Phone Number: | 4072822001 |
| Business Fax Number: | 4072822028 |
| Mailing Address: | 5286 Commander Dr, Apt 301 ORLANDO |
| State: | FL |
| Postal Code: | 328225301 |
| Phone Number: | 4073108320 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2015 |
| NPI Last Update Date: | 08/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18959 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |