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Organization
GUILLERMO A PENA MD PA
Active
Organization
GUILLERMO A PENA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO A PENA MD (OWNER)
(305) 363-4666
Entity
Organization
Contact information
Practice address
1435 W 49TH PL, SUITE # 403, HIALEAH, FL 33012-3197
(305) 362-4666
(305) 362-4679
Mailing address
1435 W 49TH PL, SUITE # 403, HIALEAH, FL 33012-3197
(305) 362-4666
(305) 362-4679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 46222
FL
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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