Penama, Incorporated

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PENAMA, INCORPORATED

Doing business as

La Epoca de Oro

Practice address

1002 Paseo de Tiber
Laredo, TX 78046-7642

Phone

(956) 791-1480

Fax

(956) 791-1481

NPI assigned

Oct 4, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Luisa Pena

Title

Chief Executive Officer

Phone

(956) 722-5468

Specialties & licenses 1

Addresses

Other names 1

• La Epoca de Oro Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javier Ramirez, LCSW

  • Mental Health Counselor
  • Laredo, TX
  • NPI 1518090828
  NPD (past)

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1629352075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MUSSER ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780432441",
            "telephone_number": "956-722-5468",
            "fax_number": "956-722-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 PASEO DE TIBER",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780467642",
            "telephone_number": "956-791-1480",
            "fax_number": "956-791-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENAMA, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "956-722-5468",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Epoca de Oro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francisco I Pena Jr.
• Humberto Pena Jr., LPC, LCDC
• Jesus Pena, FNP
• Joelynn Montserrat Pena
• Olivia Michelle Pena
• Erika Penecale
• Mary Rose Penecale, ASSISTAND SLP
• Penn Patient Care, LLC
• Penn Patient Care, LLC
• Penn Patient Care, LLC

• Adult Care Home Facility in Laredo, TX
• Providers in Laredo, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.