MAYRA G PENA (NPI# 1922345495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922345495 |
| Entity Type | Individual |
| Full Name | MAYRA G PENA |
| Credential | WHNP-BC |
| Practice Address |
3750 Commercial Ave San Antonio TX 78221-3117 |
| Practice Telephone | 2109227000 |
| Practice Fax Number | 2109236235 |
| Mailing Telephone | 2109227000 |
| Mailing Fax Number | 2109236235 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP123018 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
714925 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3750 COMMERCIAL AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78221-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881637197 | Robin Louise Gross | Social Worker | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2006-06-14 |
| 1811555832 | Tiffany Bruce | Nurse Practitioner | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2019-06-04 |
| 1992278022 | Jessica Macias | Counselor | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2019-01-11 |
| 1952816233 | Alvin Buniag | Dentist | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2017-12-07 |
| 1255844973 | Monica Michelle Romo | Social Worker | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2017-11-16 |
| 1538605779 | Jennifer Velasquez | Social Worker | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2017-01-11 |
| 1093103962 | Darrell Andrew Alviar | Physician Assistant | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2014-12-30 |
| 1841608874 | Diana Marcela Cifuentes | Dental Hygienist | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2014-07-22 |
| 1184030744 | Alkan Sezginis | Dentist | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2014-07-03 |
| 1992115752 | Ana Maria Escobar-botero | Obstetrics & Gynecology | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174025613 | Alessi Royalando Jenkins | Registered Nurse | 11418 Hogan Cv, San Antonio, TX 78221 | 2018-03-01 |
| 1104299528 | Melissa Campos | Licensed Practical Nurse | Wellmed At Sw Military, 517 Sw Military Dr Ste A, San Antonio, TX 78221 | 2015-11-06 |
| 1083055834 | Southside Spinal Care Clinic LLC. | Chiropractor | 1730 Sw Military Dr., Suite 104c, San Antonio, TX 78221 | 2013-07-09 |
| 1164862934 | Robert A Castro | Dentist | 1926 Pleasanton Dr, San Antonio, TX 78221 | 2013-06-26 |
| 1215253851 | Maricella Araiza Falcon-marchiori | Occupational Therapy Assistant | 331 W Gerald, San Antonio, TX 78221 | 2010-04-07 |
| 1992029342 | Access Dental of Pleasanton, P.a. | Dentist | 803 Sw Military Drive, Suite #130, San Antonio, TX 78221 | 2010-03-15 |
| 1598804148 | San Juan Primary Home Care Agency | Home Health | 201 Rayburn Drive, San Antonio, TX 78221 | 2007-02-06 |
| 1669570412 | Cvs Pharmacy Inc | Pharmacy | 103 S W Military Drive, San Antonio, TX 78221 | 2006-09-20 |
| 1649389073 | H-e-b, Lp | Clinical Medical Laboratory | 735 Sw Military Dr, San Antonio, TX 78221 | 2006-08-30 |
| 1790799245 | Mayfield Care Center | Nursing Facility/Intermediate Care Facility | 328 W.mayfield, San Antonio, TX 78221 | 2006-07-28 |
| Find all providers in zip 78221 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594744 | Elm Midwifery and Womens Health LLC | Nurse Practitioner | 4458 Medical Dr Ste 470, San Antonio, TX 78229-3748 | 2020-07-06 |
| 1235779760 | Tracy Woods | Nurse Practitioner | 5846 Piedmont Gln, San Antonio, TX 78249-4876 | 2020-01-13 |
| 1750676888 | Carol Anne Rupkalvis | Nurse Practitioner | 5126 Pine Lake Dr, San Antonio, TX 78244-2061 | 2011-06-16 |
| 1699932251 | Melanie Thomas | Nurse Practitioner | 335 E Sonterra Blvd Ste 170, San Antonio, TX 78258-4068 | 2008-05-21 |
| 1033393897 | Cheryl Joy Bonecutter | Nurse Practitioner | 6806 Brave Way, San Antonio, TX 78256-2301 | 2007-12-28 |
| 1225236979 | Sheryd J. Jackson | Nurse Practitioner | 3506 Litchfield St, San Antonio, TX 78230-3924 | 2007-07-04 |
| 1972604098 | Tara Lynne Caldwell | Nurse Practitioner | 120 W Ashby Pl, San Antonio, TX 78212-5838 | 2006-09-25 |
| 1184655433 | Michele Chavez | Nurse Practitioner | 7254 Blanco Rd Ste 104, San Antonio, TX 78216 | 2006-07-05 |
| 1255808531 | Mary Gretchen Trautmann | Nurse Practitioner | 2020 Babcock Rd Ste 12, San Antonio, TX 78229-4437 | 2018-10-25 |
| 1831671114 | Stephanie Izral | Nurse Practitioner | 2140 Babcock Rd, San Antonio, TX 78229-4424 | 2018-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78221 |
Please comment or provide details below to improve the information on MAYRA G PENA.
| 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.