Pena, Joel

Pena, Joel is an individual health care provider with primary practice located at 1207 Brooklyn Ave , San Antonio TX 78212-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pena, Joel can be contacted via phone (210) 229-9100.

Contact Information

Primary practice address
1207 Brooklyn Ave San Antonio TX 78212-4804
Fax: (210) 229-9111
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K0538 Texas

Profile Details

NPI number 1588653455
LBN Legal business name Pena, Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1588653455 NPPES
Texas MEDICAID 029547901

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