Provider Demographics
NPI:1194804534
Name:PINEDA, CECILIA PANLILIO (MD)
Entity type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:PANLILIO
Last Name: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 1:1336 NEW TOWN AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8024
Mailing Address - Country:US
Mailing Address - Phone:407-297-1973
Mailing Address - Fax:407-365-7240
Practice Address - Street 1:2959 ALAFAYA TRL
Practice Address - Street 2:117
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9482
Practice Address - Country:US
Practice Address - Phone:407-365-0800
Practice Address - Fax:407-365-7240
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0071198207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG36988Medicare UPIN
FL32132AMedicare ID - Type Unspecified