Organization
JOSE M PENA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE PENA MD (PRESIDENT)
(305) 774-0742
Entity
Organization
Contact information
Practice address
14740 SW 26TH ST, SUITE 202, MIAMI, FL 33185-5830
(305) 774-0742
(305) 774-0836
Mailing address
165 SW 130TH AVE, MIAMI, FL 33184-1240
(305) 774-0742
(305) 774-0836
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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