NICOLLE MARIE MARTE PENA M.D.
NPI 1407640600
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since April 04, 2025
1611 NW 12TH AVENUE, PEDIATRIC RESIDENCY TRAINING PROGRAM, MIAMI, FL 33136(305) 355-1122 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Apr 4, 2025 (2 updates tracked since 2025).

About Nicolle Marie Marte Pena M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLLE MARIE MARTE PENA M.D. (NPI 1407640600) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1407640600
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLLE MARIE MARTE PENACredential: M.D.
Location Address1611 NW 12TH AVENUE, PEDIATRIC RESIDENCY TRAINING PROGRAMMiami, FL 33136
Mailing Address1611 Nw 12th Avenue, Pediatric Residency Training ProgramMiami, FL 33136 · (305) 355-1122
Sole ProprietorNo
Enumeration DateApril 4, 2025
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPI 1407640600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1611 NW 12TH AVENUE, Miami, FL 33136

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVENUE
MIAMI, FL 33136
Internal Medicine
1611 NW 12TH AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVENUE
MIAMI, FL 33136
Pediatrics (Pediatric Gastroenterology)
1611 NW 12TH AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVENUE
MIAMI, FL 33136
Internal Medicine
1611 NW 12TH AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVENUE
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicolle Marte Pena's NPI number?

The NPI number for Nicolle Marte Pena is 1407640600. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Nicolle Marte Pena located?

Nicolle Marte Pena practices at 1611 NW 12th Avenue Pediatric Residency Training Program, Miami, FL 33136. The listed phone number is (305) 355-1122.

What is Nicolle Marte Pena's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicolle Marte Pena was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.