Luz Magali Pena, MD DERMATOLOGIST

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

3776 Issued in PR

Practice address

100 Calle Juan Antonio Corretjer
407
San Juan, PR 00901-2607

Phone

(787) 724-2876

NPI assigned

Apr 28, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1013182211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9023736",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009023736",
            "telephone_number": "787-724-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE JUAN ANTONIO CORRETJER",
            "address_2": "407",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012607",
            "telephone_number": "787-724-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "LUZ",
        "middle_name": "MAGALI",
        "name_prefix": "Dr.",
        "credential": "MD DERMATOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "3776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Jose Pena Serrano, PH.D.
• Jiovanni Eldrick Pena-Melendez, MSW
• Doris Margarita Pena
• Hector Omar Pena, DC
• Lorna M Pena, M.A.
• Nora Hilda Pena
• Raquel Pena
• Yomarlyn Pena, MSW
• Peoples Vision Care Center Inc
• Pepul LLC

• Dermatology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.