Individual provider · Type 1 NPI

Nicolle Marie Marte Pena, MD

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1407640600 Active

Practice location

1611 NW 12th Avenue, Pediatric Residency Training Program
Miami, FL 33136

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1407640600

Nicolle Marie Marte Pena, MD's National Provider Identifier is 1407640600, issued on Apr 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Aug 14, 2025.