ALEJANDRO PENA JR. (NPI# 1093151888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093151888 |
| Entity Type | Individual |
| Full Name | ALEJANDRO PENA JR. |
| Credential | MD |
| Practice Address |
14546 Old St Augustine Rd Suite 201 Jacksonville FL 32258-2612 |
| Mailing Address |
Po Box 43667 Jacksonville FL 32203-3667 |
| Practice Telephone | 9044938001 |
| Practice Fax Number | 9043380852 |
| Mailing Telephone | 9047200599 |
| Mailing Fax Number | 9043764036 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME141752 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285795666 | Alejandro Pena | Dentist | 1364 N Garey Ave, Pomona, CA 91767 | 2006-12-12 |
| 1760471866 | Alejandro J. Pena | Obstetrics & Gynecology | 7472 Docs Grove Cir, Orlando, FL 32819-8010 | 2005-10-20 |
| Street Address |
14546 OLD ST AUGUSTINE RD SUITE 201 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598182552 | Maedeh Ganji | Internal Medicine | 653 W 8th St # L-18, Jacksonville, FL 32209-6511 | 2014-03-27 |
| 1649696691 | Carolinaeast Physicians | Internal Medicine | 4725 Western Blvd, Jacksonville, NC 28546-6852 | 2014-03-14 |
| 1669696407 | Ruple Jayantilal Galani | Internal Medicine | 14546 Old Saint Augustine Rd Ste 103, Credentialing Department, Jacksonville, FL 32258-5469 | 2007-04-12 |
| 1154408656 | Heart Clinic of Jacksonville, LLC | Internal Medicine | 9551 Baymeadows Rd Ste 6, Jacksonville, FL 32256-7938 | 2006-11-01 |
| 1487757092 | Cardiovascular Associates of Jacksonville Pa | Internal Medicine | 3599 University Blvd South, Suite 913, Jacksonville, FL 32216-4269 | 2006-09-07 |
| 1316958838 | Valerie Mcnee | Internal Medicine | 1 Red Fox Ln, Jacksonville, AR 72076-2513 | 2006-08-10 |
| 1306895438 | Diagnostic Cardiology Pa | Internal Medicine | 6867 South Point Drive N, Suite 111, Jacksonville, FL 32216-8005 | 2006-05-08 |
| 1790743854 | Baptist Cardiology, Inc. | Internal Medicine | 1905 Corporate Square Blvd, Jacksonville, FL 32216-1940 | 2006-05-01 |
| 1386601896 | James C Campbell | Internal Medicine | 3225 University Blvd S Ste 104, Credentialing Department, Jacksonville, FL 32216-2757 | 2006-04-27 |
| 1184680985 | Paul H Dillahunt II | Internal Medicine | 820 Prudential Dr Ste 112, Credentialing Department, Jacksonville, FL 32207-8204 | 2006-04-21 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.