Leybis Manuel Pena, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2324873 Issued in MA

Practice address

1601 Washington St
Boston, MA 02118-1951

Phone

(617) 425-2030

Fax

(617) 425-2031

NPI assigned

Aug 18, 2018

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1285114264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 AMES ST APT C299",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021243051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181951",
            "telephone_number": "617-425-2030",
            "fax_number": "617-425-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "LEYBIS",
        "middle_name": "MANUEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-18",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2324873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lee Pelzman
• Adriana Pena
• Alba Victoria Pena, FNP-BC
• Amanda Inolinda Pena
• Jeremy Ryan A Pena, MD, PHD, MS
• Mirkeiry Pena
• Tiffanie Pena
• Tatiana Penagos, MA, MT-BC
• Jeremiah David Penberthy, DMD
• Skylar Penberthy, DMD

• Registered Nurse in Boston, MA
• Providers in Boston, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.