Rene P. Pena, M.D.,Prof.Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

6357 Issued in NV

Legal business name

RENE P. PENA, M.D.,PROF.CORP

Doing business as

NORTH VALLEY SURGERY

Practice address

2031 McDaniel St
Suite 230
North Las Vegas, NV 89030-6303

Phone

(702) 649-7300

Fax

(702) 649-7306

NPI assigned

Aug 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rene P Pena, MD

Title

President

Phone

(702) 649-7300

Specialties & licenses 1

Addresses

Other names 1

• NORTH VALLEY SURGERY Doing business as

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1538350970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 MCDANIEL ST",
            "address_2": "SUITE 230",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306303",
            "telephone_number": "702-649-7300",
            "fax_number": "702-649-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 MCDANIEL ST",
            "address_2": "SUITE 230",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306303",
            "telephone_number": "702-649-7300",
            "fax_number": "702-649-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE P. PENA, M.D.,PROF.CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-649-7300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "6357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH VALLEY SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.