Provider Demographics
NPI:1154562155
Name:MONTES DE OCA PINEDA, JENNY CECILIA (MD)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:CECILIA
Last Name:MONTES DE OCA PINEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 MINORCA AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4321
Mailing Address - Country:US
Mailing Address - Phone:305-894-7400
Mailing Address - Fax:
Practice Address - Street 1:370 MINORCA AVE FL 2
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4321
Practice Address - Country:US
Practice Address - Phone:305-894-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-20
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113335207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine