MEDICARE: RACHEL C PUPO 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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1083476568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL C PUPO PENA

Provider Business Mailing Address
First Line	:	1402 N D ST
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-1761
Country	:	US
Telephone Number	:	561-460-3098
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 N D ST
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-1761
Country	:	US
Telephone Number	:	561-460-3098
Fax Number	:

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

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	01/29/2024

Similar Medicare Providers

1477830941 — VISIONWORKS, INC.
Practice Location Address:

2530 GREEN OAKS RD , STE. K314
FORT WORTH, TX
76116-1761

Practice Phone: 817-763-5584
Practice Fax: 817-763-8024

1497367882 — DR. IKENNA CHIMAEZE OGOBUIRO DNP, MBA, CRNA, APRN
Practice Location Address:

1761 PLACITAS TRL
FORT WORTH, TX
76131-1506

Practice Phone: 214-874-8516
Practice Fax:

1457312209 — CHRISTIAN HOME AND REHABILITATION CENTER, INC.
Practice Location Address:

452 FOX LAKE RD
WAUPUN, WI
53963-1761

Practice Phone: 920-324-9051
Practice Fax: 920-324-4724

1700843877 — NORMAN A. BRINGMAN M.A.
Practice Location Address:

19000 LAKE RD APT 5609
ROCKY RIVER, OH
44116-1761

Practice Phone: 440-212-0627
Practice Fax:

1275681041 — LUXOTTICA RETAIL NORTH AMERICA INC
Practice Location Address:

1400 UNION TPKE , LAKE SUCCESS S/C
NEW HYDE PARK, NY
11040-1761

Practice Phone: 516-358-5323
Practice Fax:

1225162738 — VISION CARE CENTER
Practice Location Address:

1761 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ
86403-0947

Practice Phone: 928-453-1761
Practice Fax: 928-680-5806

Directions to “ RACHEL C PUPO PENA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.