Indhira Y Pena, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9710627 Issued in FL

Practice address

415 NW 109TH Ave
Pembroke Pines, FL 33026-4056

Phone

(954) 398-0347

NPI assigned

Jul 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• NP Surgical Corp

  • Surgical Assistant
  • Pembroke Pines, FL
  • NPI 1184242190
  NPD Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1629696786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NW 109TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264056",
            "telephone_number": "954-398-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NW 109TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264056",
            "telephone_number": "954-398-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "INDHIRA",
        "middle_name": "Y",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9710627",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "19-361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayhana Pena Santiago, MD
• Alejandra Del Carmen Pena
• Ashlee Ann Pena, PHARMD
• Carlos Pena
• Fernando Alejandro Pena, FNP
• Laura Pena
• Shannon Michelle Pena
• Veronica Andrea Pena
• William Antonio Pena, D.M.D.
• Ronoel Penalver, M.D

• Registered Nurse in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.