Miguel A Pena, MD
General Practice in Brockton, Massachusetts
1386394476- Practice location
- 680 Centre St, Brockton, MA 02302-3308
- Phone
- 508-941-7210
- Fax
- —
- Last updated
- September 9, 2022
Miguel Angel Pena is a General Practice based in Brockton, MA. Miguel Angel Pena practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Miguel Angel Pena is 1386394476 and holds a License No. 294426 (MA). The current practice location address for Miguel Angel Pena is 680 Centre St, Brockton, MA 02302-3308 and can be reached out via phone at 508-941-7210.
Provider Profile Details
- NPI Number
- 1386394476
- Provider Name
- Miguel Angel Pena
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 680 Centre St, Brockton, MA 02302-3308
- Phone Number
- 508-941-7210
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 24, 2022
- Last Update Date
- September 9, 2022
- Certification Date
- September 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 680 Centre St
Brockton, MA 02302-3308 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302-3308
- Phone Number
- 508-941-7210
Provider Business Mailing Address Details
- Address
- 60 Highland Ave
Cambridge, MA 02139-1040 - City
- Cambridge
- State
- MA
- Zip
- 02139-1040
- Phone Number
- 619-534-1060
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 294426
- License State (2)
- MA
- Taxonomy (2)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Brockton, MA
View all General Practice providers in Brockton →Frequently Asked Questions
What is the NPI number of Miguel A Pena, MD?
The NPI number of Miguel A Pena, MD is 1386394476. It was assigned on March 24, 2022 and is currently active in the NPPES registry.
What is the specialty of Miguel A Pena, MD?
Miguel A Pena, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in MA under license number 294426.
Where does Miguel A Pena, MD practice?
The practice location is 680 Centre St, Brockton, MA 02302-3308. The office can be reached at 508-941-7210 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386394476 directly on the NPPES registry website.