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IMELDA PENA CPO
NPI 1508639964
Prosthetist in Live Oak, TX

Active since November 06, 2023
12315 JUDSON RD STE 206, LIVE OAK, TX 78233(210) 657-8100(210) 657-8105 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Imelda Pena Cpo NPPES

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

IMELDA PENA CPO (NPI 1508639964) is an individual prosthetist provider in Live Oak, Texas, licensed in Texas (1312) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1508639964
Entity TypeIndividualFemale
Primary Taxonomy224P00000X
Provider Legal NameIMELDA PENACredential: CPO
Location Address12315 JUDSON RD STE 206Live Oak, TX 78233-3264
Mailing Address12315 Judson Rd Ste 206Live Oak, TX 78233-3264 · (210) 657-8100 · Fax (210) 657-8105
Phone(210) 657-8100
Fax(210) 657-8105
Sole ProprietorNo
Enumeration DateNovember 6, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1508639964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in TX · 1312
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedOrthotistTaxonomy 222Z00000X · License 1312 (TX)
12315 JUDSON RD STE 206, Live Oak, TX 78233
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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 Imelda Pena's NPI number?

The NPI number for Imelda Pena is 1508639964. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Imelda Pena located?

Imelda Pena practices at 12315 Judson Rd Ste 206, Live Oak, TX 78233. The listed phone number is (210) 657-8100.

What is Imelda Pena's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Imelda Pena was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.