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NPI Code Detail

MEDICARE: MARIA LUISA C PENA

MEDICARE: MARIA LUISA C 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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1427253186
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIA LUISA C PENA
Provider Business Mailing Address
First Line : 2515 N BARTLETT AVE
Second Line :
City : LAREDO
State : TX
Zip : 78043-2138
Country : US
Telephone Number : 956-728-0033
Fax Number : 956-728-0133
Provider Business Practice Location Address
First Line : 2515 N BARTLETT AVE
Second Line :
City : LAREDO
State : TX
Zip : 78043-2138
Country : US
Telephone Number : 956-728-0033
Fax Number : 956-728-0133
Authorized Official
Title or Position : PRESIDENT
Name : MRS. MARIA LUISA C. PENA
Credential :
Telephone Number : 956-728-0033
Provider Enumeration Date : 06/20/2007
Last Update Date : 07/29/2008

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Directions to “MARIA LUISA C PENA ” Practice Location

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