Individual
LUIS JAVIER PENA-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5401 S CONGRESS AVE STE 204, ATLANTIS, FL 33462-6637
(561) 967-4118
Mailing address
5401 S CONGRESS AVE STE 204, ATLANTIS, FL 33462-6637
(561) 967-4118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085441
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME117319
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME117319
FL
Other
Enumeration date
05/24/2007
Last updated
10/04/2018
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