Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juan Pineda Lopez, MD

Individual provider General Practice Physician · NPI 1104292846

Juan Pineda Lopez, MD is a General Practice in Orlando, Florida. Qualified in 2005, 21 years ago. Practices with Island Doctors Intrastate LLC, a 76-clinician group and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
21
Licensed in
FL, PR
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5564 E Grant St
Orlando, FL 32822-5301
Phone: (321) 235-6230
Fax: (321) 235-6246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN683 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 18959 (PR)

Record details

NPI number1104292846
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 17, 2015
Last updated in NPPESJanuary 11, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Island Doctors Intrastate Llc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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