Individual provider · Type 1 NPI
Melissa Ortiz Pena, MD
Student in an Organized Health Care Education/Training Program · Atlanta, GA
NPI number
1043726920
Active
Practice location
12 Executive Park Dr NE Ste 142
Atlanta, GA 30329-2206
Mailing address
PO Box 29134
San Juan, PR 00929-0134
Other practice locations
- Univ Of Pr Medical Science Campus, Main Building Dept Of Psychiatry Floor A-994, San Juan, PR 00929-0134 · (787) 758-2525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 113548 (GA) |
| General Practice Physician | 208D00000X | 21320 (PR) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1043726920
Melissa Ortiz Pena, MD's National Provider Identifier is 1043726920, issued on Dec 14, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 13, 2026.