Maria Luisa Pena, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 19909 Issued in FL

Practice address

9565 W Atlantic Blvd
Coral Springs, FL 33071-6943

Phone

(954) 575-3433

NPI assigned

Aug 6, 2012

Sex

Female

Sole proprietor

Yes

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

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1427305796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9066 SW 73RD CT APT 910",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562968",
            "telephone_number": "305-989-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716943",
            "telephone_number": "954-575-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "MARIA LUISA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Pelz
• Danielys Pena Chang
• Ambar Pena
• Blessie Guzman Pena, RPT
• Dany Pena
• Maria Elena Penades, IBLCE
• Israel E Penate, M.D
• Peniel Home Care LLC
• Jacqueline B Pepper, PSY.D.
• Jessica L Perciak, SLP.D., CCC-SLP

• General Practice Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.