Sonia I. Pena, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN8594 Issued in FL

Practice address

3020 NE 32ND Ave Ste 322
Fort Lauderdale, FL 33308-7204

Phone

(954) 990-5363

Fax

(954) 990-5377

NPI assigned

Aug 7, 2006

Sex

Female

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sonia I Pena DMD PA

  • Endodontics
  • Fort Lauderdale, FL
  • NPI 1083624100
  NPD (past) Authorized official
• Danielle S. Jaffe, DDS P.a.

  • Endodontics
  • Fort Lauderdale, FL
  • NPI 1497165518
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1528077476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 E BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012136",
            "telephone_number": "954-463-3636",
            "fax_number": "954-463-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 NE 32ND AVE STE 322",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087204",
            "telephone_number": "954-990-5363",
            "fax_number": "954-990-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "SONIA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN8594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Pellicia-Ramos, MD
• Yaritza Pena Curbelo
• Keyla Maria Pena Docunge
• Sandra Pena Suarez
• Nicole Maria Pena, DMD
• Kailash Pendem
• Brent M Pendergast, DNP,CRNA
• Micaela Pendola, MS
• Pennie'S R US Home Health Care Agency Corporation
• Greg Penny

• Endodontics in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.