Pena, Carlos G.

Pena, Carlos G. is an sole proprietor health care provider with primary practice located at 6705 Sw 57Th Ave Ste 310 , South Miami FL 33143-3638. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Pena, Carlos G. can be contacted via phone (786) 514-6395.

Contact Information

Primary practice address
6705 Sw 57Th Ave Ste 310 South Miami FL 33143-3638
Phone: (786) 514-6395
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME96839 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME96839 Florida

Profile Details

NPI number 1447350194
LBN Legal business name Pena, Carlos G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2006
Last updated Sep 7th, 2023 - about last year

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 1447350194 NPPES
Florida MEDICAID APPLIED FOR
Florida Other BC BS OF FLORIDA

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