Healthcare Provider Details

I. General information

NPI: 1346753423
Provider Name (Legal Business Name): MAY-LI PENA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2017
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2511 W 60TH PL APT 105
HIALEAH FL
33016-4352
US

IV. Provider business mailing address

10000 NW 80TH CT APT 2127
MIAMI LAKES FL
33016-2206
US

V. Phone/Fax

Practice location:
  • Phone: 786-333-0376
  • Fax:
Mailing address:
  • Phone: 786-333-0376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMH27185
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: