Pena, Edgar Alfonso
Pena, Edgar Alfonso is an individual health care provider with primary practice located at 1354 Washington Ave Ste 221 , Miami Beach FL 33139-4203. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Pena, Edgar Alfonso can be contacted via phone (786) 223-3334.Contact Information
Primary practice address
1354 Washington Ave Ste 221
Miami Beach FL 33139-4203
Phone: (786) 223-3334
Fax: (305) 766-8064
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CAP 5058 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 10529 | Florida |
Profile Details
NPI number | 1700070802 |
---|---|
LBN Legal business name | Pena, Edgar Alfonso |
Credentials | L.M.H.C, CAP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2007 |
Last updated | Feb 12th, 2013 - about 11 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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