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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X113548 (GA)
General Practice Physician 208D00000X21320 (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.

15 other providers at this address

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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.