Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORGE L PENA, CLINICAL PSYCHOLOGIS
Active Sole ProprietorDR. JORGE L PENA, CLINICAL PSYCHOLOGIS is a Exclusive Provider Organization healthcare provider located in MIAMI GARDENS, Florida. NPI 1649454679 is currently active in the NPPES registry. Verify at CMS.
Exclusive Provider Organization · MIAMI GARDENS, FL
Registration Details
- NPI Number
- 1649454679
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2007 (18.640647967378 yrs)
- Last Updated
- Dec 27, 2007
- License
-
PY3600 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1825 NW 167TH STSUITE #102MIAMI GARDENS, FL, 330564838Browse FL providers · Browse ZIP 33056
- Phone
- 3056247450
- Fax
- 3056237893
- Primary Specialty
-
Exclusive Provider Organization
302F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.