Carlos Ernesto Pena, PA
Physician Assistant · Douglas, AZ
Practice location
100 E 5TH StDouglas, AZ 85607-2859
- Phone
- (520) 364-7659
- Fax
- (520) 364-8541
NPI record
- NPI
- 1447408570
- Entity type
- Individual (Type 1)
- Enumeration date
- September 3, 2008
- Last updated
- April 7, 2021
- Certified
- April 7, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
4229 | AZ |
Mailing address
1205 F. AvenueDouglas, AZ 85607
- Phone
- (520) 364-1429
- Fax
- (520) 364-4261
About Carlos Pena
Carlos Ernesto Pena, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 100 E 5TH St, Douglas, AZ 85607-2859. The NPI number 1447408570 was assigned on September 3, 2008 and the record was last updated on April 7, 2021.
Carlos Pena lists a license in the registry: #4229 (AZ) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Carlos Ernesto Pena, PA?
The NPI number is 1447408570.
What is the phone number of Carlos Pena?
The phone number listed for the practice location is (520) 364-7659.
Where is Carlos Pena located?
100 E 5TH St, Douglas, AZ 85607-2859.
What is the taxonomy code for Carlos Pena?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physician Assistant providers in Douglas
- Robert Snyder Rodriguez, PA1100 F Ave