Healthcare Provider Details

I. General information

NPI: 1538373600
Provider Name (Legal Business Name): ORLANDO PENA LCDO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE B-F35 REPARTO MONTELLANO
CAYEY PR
00736
US

IV. Provider business mailing address

CALLE B-F35 REPARTO MONTELLANO
CAYEY PR
00736
US

V. Phone/Fax

Practice location:
  • Phone: 787-738-3876
  • Fax: 787-274-8477
Mailing address:
  • Phone: 787-738-3876
  • Fax: 787-274-8477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1466
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: