| Doctor Name: | DR. ORLY PENA-SANCHEZ |
| NPI Number: | 1447212295 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 15997 |
| Business Practice Address: | 5150 Nw Milner Dr Port St Lucie, FL - 349833392 |
| Business Phone Number: | 7724623800 |
| Business Fax Number: | |
| Mailing Address: | 5150 Nw Milner Dr, PORT ST LUCIE |
| State: | FL |
| Postal Code: | 349833392 |
| Phone Number: | 7724623800 |
| Fax Number: | 7724623865 |
| NPI Enumeration Date: | 04/05/2006 |
| NPI Last Update Date: | 04/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15997 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |