Rafael Pena Pena, APRN | |
2734 Sw 37th Ave, Coconut Grove, FL 33133-2728 | |
(305) 642-4263 | |
(305) 426-3329 |
Full Name | Rafael Pena Pena |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2734 Sw 37th Ave, Coconut Grove, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508516550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11018701 (Florida) | Primary |
Entity Name | Miami Hand Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295062610 PECOS PAC ID: 3476686338 Enrollment ID: O20100729000790 |
Entity Name | Miami Breast Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063726099 PECOS PAC ID: 3678756467 Enrollment ID: O20110401000262 |
Mailing Address | Practice Location Address |
---|---|
Rafael Pena Pena, APRN 3186 W 78th Pl, Hialeah Gardens, FL 33018-3847 Ph: () - | Rafael Pena Pena, APRN 2734 Sw 37th Ave, Coconut Grove, FL 33133-2728 Ph: (305) 642-4263 |
Jessica Rodriguez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2734 Sw 37th Ave, Coconut Grove, FL 33133 Phone: 305-642-4263 Fax: 305-426-3329 | |
Christopher Polanco, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2665 S Bayshore Dr Ste 220, Coconut Grove, FL 33133 Phone: 866-918-2114 |