JOSE PENA (NPI# 1457754392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457754392 |
| Entity Type | Individual |
| Full Name | JOSE PENA |
| Practice Address |
15641 Sw 8th Ln Miami FL 33194-2409 |
| Practice Telephone | 7864876204 |
| Mailing Telephone | 7864876204 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2017-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9255431 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9255431 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820564 | Jose Manuel Pena | Behavior Technician | 69 Nw 45th Ave, Miami, FL 33126-5341 | 2020-10-26 |
| 1265081657 | Jose M Pena | Home Health Aide | 816 Florida St, San Antonio, TX 78210 | 2019-09-09 |
| 1285889386 | Jose A Pena | Obstetrics & Gynecology | 4735 Ave Isla Verde, Apt 3d, Carolina, PR 00979-5442 | 2008-11-18 |
| 1205875721 | Jose Fernado Pena | Internal Medicine | 307 N Salinas Blvd, Donna, TX 78537-2929 | 2006-06-06 |
| 1982670931 | Jose Rolando Pena | Family Medicine | K2 Calle 4, Rio Grande, PR 00745-2823 | 2006-02-28 |
| 1407346927 | Jose R Pena IIi | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2018-05-10 |
| 1770013583 | Jose Manuel Pena | Pediatrics | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2017-06-14 |
| 1134674112 | Jose Pena | Counselor | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2016-08-19 |
| 1871942359 | Jose Martin Pena | Pharmacist | 200 Fairmont Shopping Ctr, Pacifica, CA 94044-1240 | 2016-06-06 |
| 1144674078 | Jose Pena | Specialist/Technologist | 103 E 3rd St, Unit A, Arlington, TX 76010-7388 | 2016-04-18 |
| Street Address |
15641 SW 8TH LN |
| City | MIAMI |
| State | FL |
| Zip Code | 33194-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700300092 | Martinez Group Home, LLC | Residential Treatment Facility, Physical Disabilities | 14918 Sw 15 Ln, Miami, FL 33194 | 2017-07-28 |
| 1487188421 | Mahalia Carry | Nurse Practitioner | Everglades National Park, Us-41, Miami, FL 33194 | 2017-04-17 |
| 1396278362 | Carolina Perdomo | Behavior Technician | 983 Sw 154 Path, Miami, FL 33194 | 2017-04-06 |
| 1578993150 | Rita Maria Two Alf, Inc. | Assisted Living Facility | 1352 Sw 44 Street, Miami, FL 33194 | 2013-11-19 |
| 1407947914 | Lisset Morales | Counselor | 869 Sw 153rd Path, Miami, FL 33194 | 2006-09-28 |
| 1306387113 | Dayma Morales Ruiz | Behavioral Analyst | 869 Sw 153rd Path, Miami, FL 33194 | 2017-03-13 |
| 1033327267 | Lidi's Health Care | Assisted Living Facility | 15561 Sw 8th Ln, Miami, FL 33194-2400 | 2007-05-20 |
| 1598111460 | Hermanos Vazquez Alf Corp. | Assisted Living Facility | 15578 Sw 10th St, Miami, FL 33194-2417 | 2016-05-10 |
| 1316455371 | Isairy Julia | Behavior Technician | 15636 Sw 10th St, Miami, FL 33194-2418 | 2018-01-11 |
| 1386057198 | Mathias Costa Jr. | Specialist/Technologist | 15650 Sw 10th St, Miami, FL 33194-2418 | 2014-06-09 |
| Find all providers in zip 33194 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1477167799 | Yanet Moreda Mendez | Nurse Practitioner | 14433 Sw 107th Ter, Miami, FL 33186-2938 | 2020-09-03 |
| 1386285732 | Addys Lisette Santos Hernandez | Nurse Practitioner | 11031 Sw 51st Ter, Miami, FL 33165-6902 | 2019-10-07 |
| 1649736745 | Marie Aliene Jusma | Nurse Practitioner | 1095 Nw 110th Street, House, Miami, FL 33168 | 2019-02-13 |
| 1306301635 | Wellspring Preservation Medical Vacation Boutique & Spa, LLC | Nurse Practitioner | 14051 Sw 152nd Ter, Miami, FL 33177-0910 | 2019-01-31 |
| 1174005250 | Julieth Andrea Rave | Nurse Practitioner | 3663 S Miami Ave Ste 209, Miami, FL 33133-4253 | 2018-09-05 |
| 1245712686 | Donna O Martinez | Nurse Practitioner | 16543 Sw 59th Ter, Miami, FL 33193-5686 | 2018-09-01 |
| 1033695465 | Carolina Elena Navarro | Nurse Practitioner | 353 Sw 23rd Rd, Miami, FL 33129-1923 | 2018-07-18 |
| 1528554003 | Ernesto Gregorio Napoles | Nurse Practitioner | 14909 Sw 80th St Apt 204, Miami, FL 33193-3149 | 2018-07-08 |
| Find all providers in MIAMI | ||||
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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.