Pena, Carlos

Pena, Carlos is an individual health care provider with primary practice located at 16501 Nw 2Nd Ave , Miami FL 33169-6005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Pena, Carlos can be contacted via phone (305) 354-4558.

Contact Information

Primary practice address
16501 Nw 2Nd Ave Miami FL 33169-6005
Phone: (305) 354-4558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME54800 Florida
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1669435988
LBN Legal business name Pena, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Nov 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669435988 NPPES
Florida MEDICAID 062529900

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