Penas, Jose

Penas, Jose is an individual health care provider with primary practice located at 10300 Sw 216Th Street Walk-Ins Service Dept, Cutler Bay FL 33190. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Penas, Jose can be contacted via phone (305) 235-5100.

Contact Information

Primary practice address
10300 Sw 216Th Street Walk-Ins Service Dept Cutler Bay FL 33190
Phone: (305) 235-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9101022 Florida

Profile Details

NPI number 1013054535
LBN Legal business name Penas, Jose
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Apr 18th, 2019 - about 7 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 1013054535 NPPES
Florida Other 9101022 STATE LICENSE

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