Active NPI
William Pena MD LLC
- General Practice Physician
- Pembroke Pines, FL
National Provider Identifier
1215190723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- WILLIAM PENA MD LLC
- Practice address
- 601 N Flamingo Rd
Suite 416
Pembroke Pines, FL 33028-1015 - Phone
- (954) 436-3331
- Fax
- (954) 436-3430
- NPI assigned
- Jul 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Pena, M.D.
- Title
- President
- Phone
- (945) 439-8859
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
601 N Flamingo Rd
Suite 416
Pembroke Pines, FL 33028-1015
Mailing address
601 N Flamingo Rd
Suite 315-a
Pembroke Pines, FL 33028-1015
Phone (954) 436-3331
National Provider Directory
National Provider DirectoryLocations
601 N Flamingo Rd
Ste 315A
Pembroke Pnes, FL 33028
Phone (954) 436-3331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226016000000",
"number": "1215190723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD",
"address_2": "SUITE 315-A",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-436-3331",
"fax_number": "954-436-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD",
"address_2": "SUITE 416",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-436-3331",
"fax_number": "954-436-3430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM PENA MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-03",
"last_updated": "2008-11-07",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "945-439-8859",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
- Susana Wilhelm, D.D.S
- Alsia Barbara Wilkinson
- Carole L Wilkinson, ARNP, MHPNP
- William a. Pena DMD, PA (American Pediatric Dental Group)
- William H Myones DMD PA (Periodontics and Oral Implantology Center of South Florida)
- William R Alexis MD PA (Florida Cardiovascular Associates)
- Wilma Joy Williams-Blake, ARNP
- Aaron Elijah Williams
- Ailiyah Williams
- Breyanna Williams
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.