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NPI Code Detail

MEDICARE: MARELDA PENA

MEDICARE: MARELDA 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
1152W00000XOptometrist11677TGTX

General Provider Information

NPI Number : 1700718137
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARELDA PENA
Provider Business Mailing Address
First Line : 811 TIERRA LINDA CIR E
Second Line :
City : MISSION
State : TX
Zip : 78572-5564
Country : US
Telephone Number : 956-862-9766
Fax Number :
Provider Business Practice Location Address
First Line : 901 E HACKBERRY AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78501-6502
Country : US
Telephone Number : 956-618-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ MARELDA PENA ” Practice Location

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