Sorange Pena | Bronx, NY • PECOS Search

Sorange Pena

Specialist

Other Service Providers

329 E 149th St, 4th Floor, Bronx, NY 10451-5601

PECOS Enrollment

Based on the most recent information from CMS, provider Sorange Pena does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1982144226
Provider Type
Individual
Full Name
Pena, Sorange
Gender
Female

Sole Proprietor
No
Enumeration Date
3/6/2017
Last Updated
3/6/2017

Contact Information

Practice Location

329 E 149th St, 4th Floor, Bronx, NY 10451-5601

Unlisted Fax

Mailing Location

12 Saratoga Rd, White Plains, NY 10607-2113

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer