LUIS ROBERTO PENA (NPI# 1831113398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831113398 |
| Entity Type | Individual |
| Full Name | LUIS ROBERTO PENA |
| Credential | MD |
| Practice Address |
12902 Magnolia Dr. Tampa FL 33612 |
| Practice Telephone | 8137458361 |
| Practice Fax Number | 8137457229 |
| Mailing Telephone | 8137458361 |
| Mailing Fax Number | 8137457229 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 32255 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
32255 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64322555 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083030480 | Luis Pena | Physical Therapist | 202 Middle St, Nashville, MI 49073-8520 | 2014-03-10 |
| 1003928706 | Luis J Pena | Counselor | 5311 Kirby Dr, Suite 110, Houston, TX 77005-1364 | 2006-08-31 |
| 1043553134 | Luis Fernando Pena | Physician Assistant | 27991 Buena Vista Blvd, Los Fresnos, TX 78566-4261 | 2013-03-27 |
| 1255684163 | Luis Pena | Counselor | 230 Maple St, Holyoke, MA 01040-5144 | 2012-10-17 |
| 1174732440 | Luis Gabriel Pena | Dentist | 4142 Bellaire Blvd, Houston, TX 77025-1008 | 2007-05-22 |
| 1750469748 | Luis Alberto Pena | Social Worker | 12440 Imperial Hwy, Suite #116, Norwalk, CA 90650-3177 | 2006-11-01 |
| 1710918099 | Luis M Pena | Internal Medicine | 4301 Sun N Lake Blvd, Suite 103, Sebring, FL 33872-2162 | 2006-07-05 |
| Street Address |
12902 MAGNOLIA DR. |
| City | TAMPA |
| State | FL |
| Zip Code | 33612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114176526 | Ashraf Abulhaija | Nurse Practitioner | 12902 Magnolia Dr., Moffitt Cancer Center, Tampa, FL 33612 | 2008-09-10 |
| 1295992774 | Kun Jiang | Pathology | 12902 Magnolia Dr., Tampa, FL 33612 | 2008-05-21 |
| 1437348521 | Ricardo Lima Barros Costa | Specialist | 12902 Magnolia Dr., Tampa, FL 33612 | 2007-10-15 |
| 1740475920 | Shannon Falcon | Radiology | 12902 Magnolia Dr., Tampa, FL 33612 | 2007-09-11 |
| 1275632929 | Ricardo J. Gonzalez | Surgery | 12902 Magnolia Dr., Fob-1, Tampa, FL 33612 | 2006-09-21 |
| 1972517241 | Benjamin A Biebel | Radiology | 12902 Magnolia Dr., Tampa, FL 33612 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477842482 | Roshanak Rabbanifard | Internal Medicine | 12901 Bruce B Downs Blvd # 82, Tampa, FL 33612-4742 | 2011-03-30 |
| 1336454214 | N.b. Edgerton, Jr., M.d., P.a. | Internal Medicine | 4510 W Bay To Bay Blvd, Tampa, FL 33629-6537 | 2010-08-16 |
| 1750618955 | Renee Mary Marchioni Beery | Internal Medicine | 13330 Usf Laurel Dr Fl 6, Morsani Center for Advanced Healthcare, Tampa, FL 33612-6601 | 2009-11-09 |
| 1043466568 | Ishwari Prasad Md Ph D Pa | Internal Medicine | 14447 University Cove Place, Tampa, FL 33613 | 2008-08-15 |
| 1043471014 | Carla Melyssa Duffoo | Internal Medicine | 13000 Bruce B. Downs Blvd (111b), Tampa, FL 33612 | 2008-06-22 |
| 1356540785 | Westchase Gastroenterology P A | Internal Medicine | 11912 Sheldon Rd Ste B, Tampa, FL 33626-3643 | 2007-07-16 |
| 1003905605 | Sandra Maritza Jara | Internal Medicine | 10034 Cypress Shadow Ave, Tampa, FL 33647-1858 | 2006-10-12 |
| 1053403923 | Martin Maldonado-alfandari | Internal Medicine | 14547 Bruce B. Downs Blvd., Tampa, FL 33613 | 2006-09-29 |
| 1821103573 | Robert Gilbert | Internal Medicine | 14547 Bruce B Dawns Blvd #a, Tampa, FL 33613 | 2006-08-21 |
| 1114032760 | Barry Frank | Internal Medicine | 14547 Bruce B Downs Blvd # A, Tampa, FL 33613-2709 | 2006-08-21 |
| Find all providers in TAMPA | ||||
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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.