Pena, Jorge L
Pena, Jorge L is an sole proprietor health care provider with primary practice located at 1825 Nw 167Th St Suite #102, Miami Gardens FL 33056-4838. He recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as his primary health care specialty. Pena, Jorge L can be contacted via phone (305) 624-7450.Contact Information
Primary practice address
1825 Nw 167Th St Suite #102
Miami Gardens FL 33056-4838
Phone: (305) 624-7450
Fax: (305) 623-7893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | PY3600 | Florida |
Profile Details
| NPI number | 1649454679 |
|---|---|
| LBN Legal business name | Pena, Jorge L |
| Credentials | CLINICAL PSYCHOLOGIS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2007 |
| Last updated | Dec 27th, 2007 - about 17 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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