Roberto M. Pena, MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G3051 Issued in TX

Legal business name

ROBERTO M. PENA, MD PA

Practice address

2911 Medical Arts St
Building #14
Austin, TX 78705-3376

Phone

(512) 477-4693

Fax

(512) 477-2160

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Roberto Matta Pena, MD

Title

Ceo

Phone

(512) 477-4693

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Austin Family Practice Doing business as

Locations

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1598087108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST",
            "address_2": "BUILDING #14",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053376",
            "telephone_number": "512-477-4693",
            "fax_number": "512-477-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST",
            "address_2": "BUILDING #14",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053376",
            "telephone_number": "512-477-4693",
            "fax_number": "512-477-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO M. PENA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "MATTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-477-4693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366451759",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert S. Crumb, M.D., P.a.
• Robert W Cline MD PA
• Robert Whitfield MD PLLC
• Roberta Targino, PLLC
• Roberta Tsukahara, PHD, PA
• Roberto Miranda, MD PA
• Brittney C Roberts, LCSW
• Camille Rose Roberts
• Cathey Jean Roberts, M.D.
• Celeste Roberts, PTA

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.