Individual
FERNANDO LUIS PENA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-6305
Mailing address
2940 CALLE PAISAJE, REPARTO ANAIDA, PONCE, PR 00716-4136
(787) 379-6024
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
300582
NY
390200000X
Student in an Organized Health Care Education/Training Program
13961-I
PR
390200000X
Student in an Organized Health Care Education/Training Program
32510-R
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/10/2016
Last updated
10/10/2022
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