DR. ESTEBAN PENA AYALA


Address: 9300 Allegiance St Nw, Albuquerque, NM 87114-4588
Phone: 4045195489

DR. ESTEBAN PENA AYALA (NPI# 1760502116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760502116
Entity Type Individual
Full Name DR. ESTEBAN PENA AYALA
Other Name DR. ESTEBAN PENA
Credential M.D.
Practice Address 9300 Allegiance St Nw
Albuquerque
NM 87114-4588
Mailing Address 810 E Sandia Hills Dr
Apt # 2208
Sandy
UT 84094-2828
Practice Telephone 4045195489
Practice Fax Number 4045195489
Mailing Telephone 4045195489
Mailing Fax Number 4045195489
Enumeration Date 2007-03-30
Last Update Date 2014-10-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QA0505X Family Medicine
Specialization: Adult Medicine
57011037 OH Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine MD 2013-0215 NM Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 35.090444 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 9300 ALLEGIANCE ST NW
City ALBUQUERQUE
State NM
Zip Code 87114-4588

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891331773 Head To Toe Wellness, LLC Counselor 4619 Greene Ave, Suite D, Albuquerque, NM 87114 2019-11-26
1255896353 32 Degrees Genuine, LLC Counselor 10143 4th St Nw, Albuquerque, NM 87114 2019-02-04
1548789365 Maureen Chavez Occupational Therapist 10501 Golf Course, Albuquerque, NM 87114 2017-09-13
1982149043 Professional Case Coordination Services LLC Case Management 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 2016-12-28
1124494323 Geri Davis Nurse Practitioner 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 2015-08-11
1427432111 Marcia Nicole Cowen Nurse Practitioner 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 2015-07-13
1013315399 Amy Brown Counselor 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 2014-12-18
1851793392 Elaine Barbara Beckett Pharmacist 10224 Coors-by-pass Nw, Albuquerque, NM 87114 2014-09-16
1174924344 Sherrica Cressor Counselor 20 Pond Road, County Road 11, Cuba, NM 87114 2014-09-08
1427467513 Colleen Temkin Pharmacist 10224 Coors By Pass Nw, Albuquerque, NM 87114 2014-08-04
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851862882 Medic Buddy, LLC Internal Medicine 3420 Constitution Ave Ne Ste C, Albuquerque, NM 87106-1238 2018-12-17
1962984518 Medical Whisperer Janet L Blanchard Md Internal Medicine Consultantllc Internal Medicine 717 Encino Pl Ne Ste 17, Albuquerque, NM 87102-2655 2018-08-30
1780189936 Dania Qaryouti Internal Medicine Internal Medicine Msc10 5550 1 University of New Mexic, Albuquerque, NM 87131-0001 2018-03-29
1649782962 Molina Healthcare of New Mexico Internal Medicine 400 Tijeras Ave Nw, Albuquerque, NM 87102-3234 2017-10-26
1679003503 Aubrey Del Rosario Internal Medicine Msc (10-5550) 1 University of New Mexico, Albuquerque, NM 87131 2017-06-13
1487181848 Lillian Khowong To Internal Medicine Msc Ophthalmology 1 University of New Mexico, Albuquerque, NM 87131-0001 2017-05-16
1780037507 Beulah Jyothy Koduru Internal Medicine 1 University of New Mexico Hospital Msc 10 5550, Albuquerque, NM 87131-5640 2016-07-16
1487006813 Andres Eduardo Mendez-hernandez Internal Medicine Msc (internal M) 1 University of New Mexico Albuquerque, Albuquerque, NM 87131-0001 2016-07-11
1902251234 Sakshi Sahni Internal Medicine Msc 10 5550 Gi Department 1 University of New Mexico, Albuquerque, NM 87131-7232 2016-04-23
1184078719 Sarah Olivia Sharkey Internal Medicine Msc Internal Medicine, 1 University of New Mexico, Albuquerque, NM 87131-0001 2016-04-20
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City ALBUQUERQUE
Zip Code 87114

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Dataset Information

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.

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