Pena Medical Office

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PENA MEDICAL OFFICE

Practice address

3205 W 16TH Ave
Hialeah, FL 33012-4640

Phone

(786) 380-7465

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Yosvany Pena

Title

President

Phone

(786) 380-7465

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1639439318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124640",
            "telephone_number": "786-380-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENA MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "YOSVANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-380-7465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Amalia Pena Garcia
• Penelope Pena Garrote
• Kelley Pena Lazo
• Idalmis Barbara Pena Licea, ARNP-FNP
• Dalienna Pena Marquez
• Zabdy Pena Rivero
• Claudia Pena Rodriguez
• Adys Pena Torrens
• Eliani De la Caridad Pena Torres, MD
• Gustavo Emilio Pena-Lagrave

• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.