Organization
PENA MEDICAL OFFICE
Active
Organization
PENA MEDICAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOSVANY PENA (PRESIDENT)
(786) 380-7465
Entity
Organization
Contact information
Practice address
3205 W 16TH AVE, HIALEAH, FL 33012-4640
(786) 380-7465
Mailing address
3205 W 16TH AVE, HIALEAH, FL 33012-4640
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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