Individual
INDHIRA Y PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
415 NW 109TH AVE, PEMBROKE PINES, FL 33026-4056
(954) 398-0347
Mailing address
415 NW 109TH AVE, PEMBROKE PINES, FL 33026-4056
(954) 398-0347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9710627
FL
246ZC0007X
Surgical Assistant
19-361
FL
246ZC0007X
Surgical Assistant
Primary
19-361
—
Other
Enumeration date
07/06/2020
Last updated
06/02/2026
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