NPI 1003587387

Adriana Pena, MSLATATC

Practitioner Athletic Trainer Miami, FL

Practice location

Address: 11290 SW 12th St, Miami, FL 33199-0001
Phone: (305) 348-2575
Mailing address: 13756 SW 143rd St Unit D, Miami, FL 33186-7570

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL5627 (FL)

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Registry record

NPI: 1003587387
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2021
Record last updated: 25 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.