Provider Demographics
NPI:1750197331
Name:PENA, ISABEL MARIA
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:MARIA
Last Name:PENA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 DUBLIN BLVD APT 117
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-5804
Mailing Address - Country:US
Mailing Address - Phone:719-452-1393
Mailing Address - Fax:
Practice Address - Street 1:2816 DUBLIN BLVD APT 117
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5804
Practice Address - Country:US
Practice Address - Phone:719-452-1393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter