Jessica Pena, BSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4343 W Flagler St Ste 100
Coral Gables, FL 33134-1585

Phone

(305) 774-9570

NPI assigned

May 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1639514912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 W FLAGLER ST STE 100",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341585",
            "telephone_number": "305-774-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W FLAGLER ST STE 100",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341585",
            "telephone_number": "305-774-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pelican Anesthesia LLC
• Pelvic Therapy South Florida, LLC
• Dayneris Pena Gonzalez
• Ernesto Pena Morgado, NP
• Byron Ioham Pena, BEHAVIOR TECHNICIAN
• Maria Pena, ARNP
• Rafael Pena, RN
• Stefanie Pena, APRN
• Yamileidys Pena
• Yazmin Pena, LCSW

• Case Manager/Care Coordinator in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.