Provider Demographics
NPI:1740950153
Name:PENA, HECTOR OMAR (DC)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:OMAR
Last Name:PENA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URBANIZACION ASOMANTE 113
Mailing Address - Street 2:VIA DEL GUAYABAL
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-3069
Mailing Address - Country:US
Mailing Address - Phone:787-478-2450
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION HYDE PARK
Practice Address - Street 2:#285 AVENIDA JESUS T. PINERO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3069
Practice Address - Country:US
Practice Address - Phone:787-436-5595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR725111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor