ALEJANDRO PENA JR.


Address: 14546 Old St Augustine Rd Suite 201, Jacksonville, FL 32258-2612
Phone: 9044938001

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
ME141752 FL Allopathic & Osteopathic Physicians

Other Providers ALEJANDRO PENA

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

Office Location

Street Address 14546 OLD ST AUGUSTINE RD SUITE 201
City JACKSONVILLE
State FL
Zip Code 32258-2612

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NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
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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
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City JACKSONVILLE
Zip Code 32258

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Dataset Information

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.

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