Individual
JAY B PENAFIEL
Active
Individual
JAY B PENAFIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D50087
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060068110
RAILROAD MEDICARE
MD
05
—
970505800
—
MD
Enumeration date
08/16/2005
Last updated
03/19/2012
Update your record
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