Individual ProviderLeini PenaSpecialistOther Service ProvidersPractice Address780 Grand Concourse, Apt# 1l, Bronx, NY 10451-3064(347) 918-8470PECOS EnrollmentBased on the most recent information from CMS, provider Leini Pena does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 8:41 AM.Profile DetailsProvider ID1184987208Provider TypeIndividualFull NamePena, LeiniGenderFemaleSole ProprietorNoEnumeration Date6/22/2012Last Updated6/22/2012Contact InformationPractice LocationPractice Address780 Grand Concourse, Apt# 1l, Bronx, NY 10451-3064Phone(347) 918-8470FaxUnlisted FaxMailing LocationMailing Address780 Grand Concourse, Apt# 1l, Bronx, NY 10451-3064PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense851554New York