Doctor Name: | DR. ROMEO MIRAFLOR PINEDA |
NPI Number: | 1700920832 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01047655A |
Business Practice Address: | 5750 W 95th St Suite 205 Overland Park, KS - 662072976 |
Business Phone Number: | 9133412332 |
Business Fax Number: | 9133412337 |
Mailing Address: | 5750 W 95th St, Suite 205 OVERLAND PARK |
State: | KS |
Postal Code: | 662072976 |
Phone Number: | 9133412332 |
Fax Number: | 9133412337 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01047655A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |