SearchNew Mexico2255A2300X

Daniel Pena, ATC, LPTA

NPI 1417045444 · on the registry since 2006

Practice

Address
4501 Biggs Avenue Bldg 939
Kirtland Afb, NM 87117
Phone
(505) 846-7377

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
225200000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico