Jose Pena, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME90676 Issued in FL

Practice address

10 NW 42ND Ave
Ste#300
Miami, FL 33126-5473

Phone

(305) 774-0742

Fax

(305) 774-0836

NPI assigned

Aug 20, 2006

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1984

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Private Medical Center IncGroup PAC ID 5890691877, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Private Medical Center Inc

  • Health Service Clinic/Center
  • Miami, FL
  • NPI 1023021011
  Medicare reassignment Care Compare group NPD
• City Care Doctors Inc

  • Family Medicine Physician
  • Miami, FL
  • NPI 1760045470
  Medicare reassignment NPD
• Context Medical Group, Inc.

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1053366971
  Medicare reassignment NPD
• Central Therapy Center, Inc.

  • Clinic/Center
  • Miami, FL
  • NPI 1851378913
  NPD (past)
• Master Care Medical Center Inc

  • Clinic/Center
  • Miami, FL
  • NPI 1124016308
  NPD (past)
• Medivital Health Center LLC

  • Primary Care Clinic/Center
  • Hialeah, FL
  • NPI 1528855343
  NPD (past)
• Palm Medical Institute

  • General Practice Physician
  • Hialeah, FL
  • NPI 1831130277
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437264686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NW 42ND AVE",
            "address_2": "STE#300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265473",
            "telephone_number": "305-774-0742",
            "fax_number": "305-774-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NW 42ND AVE",
            "address_2": "STE#300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265473",
            "telephone_number": "305-774-0742",
            "fax_number": "305-774-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iliana Maria Pena, ARNP
• Javier Pena
• Jaylene Pena
• Jeannette Pena
• John Pena
• Jose Pena
• Jose Manuel Pena
• Jose Manuel Pena
• Joshy Pena, APRN
• Juan B Pena, LCSW, PH.D.

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.