MEDICARE: DR. FRANCES MARIE PENA

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
1	183500000X	Pharmacist	5322	PR
2	183500000X	Pharmacist	PS43468	FL

General Provider Information

NPI Number	:	1063623114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCES MARIE PENA

Provider Business Mailing Address
First Line	:	PO BOX 271
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00726-0271
Country	:	US
Telephone Number	:	787-612-7912
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 CALLE JAZMIN
Second Line	:	URB.CONDADO
City	:	CAGUAS
State	:	PR
Zip	:	00725-2469
Country	:	US
Telephone Number	:	787-612-7912
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	10/05/2011

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Directions to “ DR. FRANCES MARIE PENA ” Practice Location

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