Individual provider · Type 1 NPI
Jorge L. Pena, CLINICAL PSYCHOLOGIS
Exclusive Provider Organization · Miami Gardens, FL
Practice location
1825 NW 167th St, Suite #102
Miami Gardens, FL 33056-4838
Fax (305) 623-7893
Mailing address
9225 Collins Avenue, Apt. #1411
Surfside, FL 33154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | PY3600 (FL) |
Exclusive Provider Organization: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay t…
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About NPI 1649454679
Jorge L. Pena, CLINICAL PSYCHOLOGIS's National Provider Identifier is 1649454679, issued on Dec 27, 2007. The primary taxonomy on file is Exclusive Provider Organization (302F00000X), and the practice location is in Miami Gardens, FL. The record was last updated on Dec 27, 2007.