Individual
CARLOS PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1281 NW 184TH TER, PEMBROKE PINES, FL 33029-4701
(786) 419-2406
Mailing address
1281 NW 184TH TER, PEMBROKE PINES, FL 33029-4701
(786) 419-2406
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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