DR. JORGE L PENA (NPI# 1649454679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649454679 |
| Entity Type | Individual |
| Full Name | DR. JORGE L PENA |
| Credential | CLINICAL PSYCHOLOGIS |
| Practice Address |
1825 Nw 167th St Suite #102 Miami Gardens FL 33056-4838 |
| Mailing Address |
9225 Collins Avenue Apt. #1411 Surfside FL 33154 |
| Practice Telephone | 3056247450 |
| Practice Fax Number | 3056237893 |
| Mailing Telephone | 3054428692 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | PY3600 | FL | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104246818 | Jorge Pena | Counselor | 4403 1st Ave Se Ste 104, Cedar Rapids, IA 52402-3221 | 2014-04-21 |
| 1992867857 | Jorge L Pena I | Pediatrics | Urb.las Serrania, Calle Madrigal #4, Caguas, PR 00725 | 2006-12-15 |
| 1942235940 | Jorge A Pena | Internal Medicine | 600 N Garfield Ave Ste 311, Monterey Park, CA 91754-1171 | 2006-07-11 |
| 1124396262 | Jorge Francisco Pena | Pharmacist | 14882 Blanco Rd, San Antonio, TX 78216-7715 | 2011-12-04 |
| 1881799658 | Jorge A Pena | Specialist | 2420 Sonoma St Ste B, Redding, CA 96001-3027 | 2006-09-14 |
| Street Address |
1825 NW 167TH ST SUITE #102 |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33056-4838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277792 | Shena Mayas | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2020-08-26 |
| 1326671934 | Chekelia Karen Rahming | Counselor | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2020-02-21 |
| 1487203469 | Ellieton Bobby Lewis | Counselor | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2019-09-11 |
| 1265086060 | Melanie Kucharski | Dentist | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2019-07-30 |
| 1740755107 | Debra Robin Thomas | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-10-11 |
| 1366924557 | Julienne Jean | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-09-04 |
| 1992287262 | Nyto Lacroix | Counselor | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-09-04 |
| 1952883688 | Valerie Lynn Dukes | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-08-29 |
| 1225534845 | Daneisha Tranette Freeman | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-04-03 |
| 1093223422 | Heather M Atkinson | Case Manager/Care Coordinator | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475898 | Dory Ailec Abellon Mederos | Behavior Technician | 3270 Nw 208 St, Miami Garden, FL 33056 | 2018-11-08 |
| 1356867121 | Sonya Hunter | Case Management | 2200 Nw 193rd Terrace, Miami, FL 33056 | 2017-08-14 |
| 1144759531 | Spirit Residential Group Home | Clinic/Center | 17311 N.w 33 Ct, Miami Gardens, FL 33056 | 2017-06-08 |
| 1942744735 | Medicode Network Solutions | Durable Medical Equipment & Medical Supplies | 16805 Nw 24 Ct, Miami, FL 33056 | 2016-12-13 |
| 1114317013 | Mental Health Counseling of South Florida LLC | Social Worker | 18656 Nw 47 Ave, #102 F, Miami Gardens, FL 33056 | 2015-01-29 |
| 1568713956 | A Sweet Adult Care Alf, Inc | Assisted Living Facility | 2751 Nw 209th Terra, Miami Gardens, FL 33056 | 2012-09-25 |
| 1093006660 | Gloria Jean Roan | Respiratory Therapist, Registered | 2320 Nw 187th Street, Miami Garden, FL 33056 | 2011-04-29 |
| 1891091690 | Barry M Gillman | Chiropractor | 17325 Nw 27th Avenue, Suite 111, Miami, FL 33056 | 2011-01-27 |
| 1245363381 | Wal-mart Stores, Inc. | Technician/Technologist | 19501 Northwest 27th Ave., Miami Gardens, FL 33056 | 2007-03-14 |
| 1689719213 | Great Care Pharmacy Inc | Pharmacy | 17560 Nw 27 Ave, Suite 107, Miami Gardens, FL 33056 | 2007-02-21 |
| Find all providers in zip 33056 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386888162 | Medoptions, Inc. | Exclusive Provider Organization | 3924 Nw 167th St, Miami Gardens, FL 33054-6240 | 2009-04-24 |
| 1801184551 | Comfort Health Group LLC. | Exclusive Provider Organization | 5190 Nw 167th St, Suite #108 & 109, Miami Gardens, FL 33014-6328 | 2011-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780362 | South Florida Physician Network, LLC | Exclusive Provider Organization | 5000 Sw 75th Ave Ste 202, Miami, FL 33155-4468 | 2020-11-02 |
| 1164040598 | Ito Medical, LLC | Exclusive Provider Organization | 79 Sw 12th St Apt 1511, Miami, FL 33130-5203 | 2020-07-13 |
| 1588292882 | Clarity Dx, Inc. | Exclusive Provider Organization | 1111 Latta Ln, Orlando, FL 32804-6335 | 2020-03-31 |
| 1871126102 | First Harbour Health Management, LLC | Exclusive Provider Organization | 7320 Delainey Ct, Lakewood Ranch, FL 34240-8445 | 2020-02-14 |
| 1295378271 | Community Health Services, Inc | Exclusive Provider Organization | 15315 Nw 60th Ave Ste E, Miami Lakes, FL 33014-2440 | 2019-10-23 |
| 1447808894 | Doctorology, LLC | Exclusive Provider Organization | 6440 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8003 | 2019-08-29 |
| 1851943591 | Attesor Mso LLC | Exclusive Provider Organization | 3350 Sw 148th Ave Ste 146, Miramar, FL 33027-3257 | 2019-07-12 |
| 1225690563 | Annie Saika Lucien | Exclusive Provider Organization | 2341 Nw 38th Ter, Lauderdale Lakes, FL 33311-2650 | 2019-07-08 |
| 1548728397 | Power Md Mso LLC | Exclusive Provider Organization | 4000 N 37th Ave, Hollywood, FL 33021-1927 | 2019-03-11 |
| 1023575495 | Premiermd Sim, LLC | Exclusive Provider Organization | 3465 Galt Ocean Dr Ste 203, Ft Lauderdale, FL 33308-7077 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI GARDENS |
| Zip Code | 33056 |
Please comment or provide details below to improve the information on DR. JORGE L PENA.
| 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.