Individual
DR. CARLOS PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16501 NW 2ND AVE, MIAMI, FL 33169-6005
(305) 354-4558
Mailing address
16501 NW 2ND AVE, MIAMI, FL 33169-6005
(305) 354-4558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RN0300X
Nephrology Physician
Primary
ME54800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062529900
—
FL
Enumeration date
04/08/2006
Last updated
11/03/2022
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