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NPI Code Detail

MEDICARE: GABRIELA N. PENA MD

MEDICARE: GABRIELA N. PENA MD
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
1207V00000XObstetrics & Gynecology Physician24228NV

General Provider Information

NPI Number : 1386105716
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA N. PENA MD
Provider Business Mailing Address
First Line : 650 S GREEN VALLEY PKWY STE 120
Second Line :
City : HENDERSON
State : NV
Zip : 89052-0425
Country : US
Telephone Number : 702-847-6252
Fax Number : 702-847-6254
Provider Business Practice Location Address
First Line : 1348 PASEO VERDE PKWY STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89012-5723
Country : US
Telephone Number : 702-847-6252
Fax Number : 702-847-6254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2019
Last Update Date : 03/03/2026

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Directions to “ GABRIELA N. PENA MD” Practice Location

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