Basic Information
Provider Information
NPI: 1528477379
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PINEDA MOLINA
FirstName: MARCELA IVETTE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 2301 EASTERN AVE
Address2:  
City: RED OAK
State: IA
PostalCode: 515661305
CountryCode: US
TelephoneNumber: 7126236335
FaxNumber: 7126233755
Practice Location
Address1: 1400 SENATE AVE STE 102
Address2:  
City: RED OAK
State: IA
PostalCode: 51566
CountryCode: US
TelephoneNumber: 7126236335
FaxNumber: 7126233755
Other Information
ProviderEnumerationDate: 08/06/2014
LastUpdateDate: 08/14/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD-44802IAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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