Richard Pena

NPI 1417665019 · on the registry since 2022 · sole proprietor

Practice

Address: 2905 Nw 130th Ave Apt 208
Sunrise, FL 33323
Phone: (786) 562-2639
Organisation at this address: Wallmart Properties Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 106E00000X
106E00000X
Also registered as: 103K00000X
104100000X
171M00000X
171WH0202X
172A00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida