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NPI Code Detail

MEDICARE: MRS. ANA PATRICIA PENAS

MEDICARE: MRS. ANA PATRICIA PENAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA 65505FL

General Provider Information

NPI Number : 1023384799
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANA PATRICIA PENAS
Provider Business Mailing Address
First Line : 3121 PONCE DE LEON
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-6816
Country : US
Telephone Number : 786-953-8378
Fax Number : 786-464-0624
Provider Business Practice Location Address
First Line : 3121 PONCE DE LEON
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-6816
Country : US
Telephone Number : 786-953-8378
Fax Number : 786-464-0624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2012
Last Update Date : 03/28/2012

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Directions to “ MRS. ANA PATRICIA PENAS ” Practice Location

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