Luis Fernando Pena, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08283 Issued in TX

Practice address

27991 Buena Vista Blvd
Los Fresnos, TX 78566-4261

Phone

(956) 504-7282

Fax

(956) 504-7284

NPI assigned

Mar 27, 2013

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1043553134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LAS PALMAS CIR APT 326",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212795",
            "telephone_number": "956-525-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27991 BUENA VISTA BLVD",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785664261",
            "telephone_number": "956-504-7282",
            "fax_number": "956-504-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dove Ave",
            "address_2": "Ste F & G",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785042262",
            "country_code": "US",
            "telephone_number": "956-631-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Ochoa, LPC, NCC
• Olga D. Barron
• Cynthia Margarita Olvera, MSN, APRN, FNP-C
• Madeline Nicole Ortiz, OTR
• Bruno Parada Granados, OTR
• Claudia Maris Perez
• Claudia Isabel Pina, LPC
• Kari Ann Pinsonneault, RDH
• Jesus Quintanilla, M. ED.
• Rad Ready, LLC

• Physician Assistant in Los Fresnos, TX
• Providers in Los Fresnos, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.