Most Relevant Information
Provider Data
| NPI Number: | 1003587387 |
| Provider Name: | ADRIANA PENA MS, LAT, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AL5627 |
Most Important Dates
| Enumeration Date: | 09/25/2021 |
| Last Updated: | 09/25/2021 |
Provider Practice Location
11290 SW 12TH ST
MIAMI
FL
331990001
Practice Location Phone/Fax
| Phone: | 3053482575 |
| Fax: |
Provider Mailing Location
13756 SW 143RD ST UNIT D
MIAMI
FL
331867570
Provider Mailing Phone/Fax
| Phone: | 7876475178 |
| Fax: |