| Organization Name: | JORGE LUIS PENA JR |
| NPI Number: | 1952353278 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JORGE LUIS PENA (OWNER) |
| Mailing Address: | 703 W Ciro Casares Elsa |
| State: | TX US |
| Postal Code: | 78543 |
| Phone Number: | 9562627434 |
| Fax Number: | 9562626946 |
| NPI Enumeration Date: | 05/16/2006 |
| NPI Last Update Date: | 01/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |