Carlos Antonio Pena, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13049 Issued in FL

Practice address

19273 NW 27TH Ave Apt 3412
Miami Gardens, FL 33056-2577

Phone

(404) 984-8465

NPI assigned

Mar 12, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1144723545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CHEROKEE TRL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893606",
            "telephone_number": "404-984-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19273 NW 27TH AVE APT 3412",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562577",
            "telephone_number": "404-984-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "CARLOS",
        "middle_name": "ANTONIO",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010025",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuliette Pedroso
• Ivon Pelaez
• Suney Hortensia Pena Corrales
• Beatriz Pena
• Camila Franchesca Pena
• Christine Pena
• Jorge L Pena, CLINICAL PSYCHOLOGIS
• Mislay Pena
• Tania Caridad Pena
• Majel Penalver Aulet

• Chiropractor in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.