Pena-Samper Medical Associates, Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME51328 Issued in FL

Legal business name

PENA-SAMPER MEDICAL ASSOCIATES, INC

Practice address

7820 N Armenia Ave
Tampa, FL 33604-3852

Phone

(813) 935-6334

Fax

(813) 935-5237

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Marcela Pena-Perilla

Title

Office Manager

Phone

(813) 935-6334

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1114108172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336043852",
            "telephone_number": "813-935-6334",
            "fax_number": "813-935-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336043852",
            "telephone_number": "813-935-6334",
            "fax_number": "813-935-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENA-SAMPER MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "PENA-PERILLA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "MARCELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-935-6334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME38971",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME51328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME51328",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME38971",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064723300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alissa Pena
• Andrele Pena, FNP
• Brittney Marie Pena
• Dayhanara M Pena, ARNP, FNP-BC
• Destiny Pena

• Hematology & Oncology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.