CARLOS DAVID PENA (NPI# 1093161143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093161143 |
| Entity Type | Individual |
| Full Name | CARLOS DAVID PENA |
| Credential | M.D. |
| Practice Address |
20900 Biscayne Blvd Aventura FL 33180-1407 |
| Practice Telephone | 3054664008 |
| Mailing Telephone | 3054664008 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2018-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME134493 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144723545 | Carlos Antonio Pena | Chiropractor | 7000 Peachtree Dunwoody Rd Bldg 9, Sandy Springs, GA 30328-1655 | 2018-03-12 |
| 1710422662 | Carlos Edwardo Pena | Contractor | 8402 W Interstate Highway 2, Mission, TX 78572-2072 | 2017-01-02 |
| 1245687052 | Carlos J Pena | Physician Assistant | 1325 Cottonwood St, Woodland, CA 95695-5131 | 2016-05-21 |
| 1447408570 | Carlos Ernesto Pena | Physician Assistant | 1100 F. Avenue, Douglas, AZ 85607 | 2008-09-03 |
| 1356437636 | Carlos Aquino Pena | Pediatrics | 4623 Forest Hill Blvd, Ste. 112, West Palm Beach, FL 33415-9121 | 2006-10-05 |
| 1447350194 | Carlos G. Pena | Specialist | 8940 N Kendall Dr, Suite 701e, Miami, FL 33176-2148 | 2006-09-23 |
| 1669435988 | Carlos Pena | Specialist | 16501 Nw 2nd Ave, Miami, FL 33169-6005 | 2006-04-08 |
| 1598725046 | Carlos Pena | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-03-27 |
| Street Address |
20900 BISCAYNE BLVD |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831190743 | Anna Rita Talerico | Physician Assistant | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2005-08-02 |
| 1710506985 | Jessica Mary Szczesny Grey | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-04-08 |
| 1740819390 | Karan Thakkar | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-04-06 |
| 1871122622 | Kevin Qinyi Fan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-04-03 |
| 1891324745 | Iman Isayli | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-04-03 |
| 1437788502 | Daryl Keith Granger II | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1495 | 2020-04-02 |
| 1346878808 | Matthew Doyle Sorensen | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-03-31 |
| 1609404169 | Maria Carla Canizares-otero | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-03-31 |
| 1679101018 | Neel Kapoor | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1495 | 2020-03-31 |
| 1093343568 | Frey Gugsa | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013358332 | Deborah Yasmin Cova | General Practice | 18081 Biscayne Blvd Apt 702-n4, Aventura, FL 33160-2526 | 2013-07-15 |
| 1780858258 | Henriete D Faillace | General Practice | 2627 Ne 203rd St Ste 101, Aventura, FL 33180-1945 | 2008-04-16 |
| 1831303262 | Desiree Alma Rosenthal | General Practice | 3600 Yacht Club Dr, #601, Aventura, FL 33180-4008 | 2007-05-08 |
| 1538657523 | Daniel Fischer | General Practice | 2925 Aventura Blvd, Aventura, FL 33180-3124 | 2018-04-25 |
| 1285075630 | Wmc Health Group, LLC | General Practice | 2999 Ne 191st St Ste 406, Aventura, FL 33180-3116 | 2013-07-15 |
| 1215269469 | Aventura Medical Associates Md Pa | General Practice | 21150 Biscayne Blvd, Suite 306, Aventura, FL 33180-1226 | 2010-02-12 |
| 1568500445 | Matthew Korn | General Practice | 20601 E Dixie Hwy, Suite 340, Aventura, FL 33180-1540 | 2007-02-02 |
| 1144335472 | Ivan Berend Md Pa | General Practice | 21097 Ne 27th Court, Suite 320, Aventura, FL 33180-3329 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.