Organization Active NPI

William Pena MD LLC

  • General Practice Physician
  • Pembroke Pines, FL
National Provider Identifier
1215190723
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Nov 7, 2008

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.