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PENSTAR PROVIDER NETWORK LLC
NPI 1912509233
Specialist in Pembroke Pines, FL

Active since November 11, 2020
1931 NW 150TH AVE STE 228, PEMBROKE PINES, FL 33028(754) 226-6456 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penstar Provider Network Llc NPPES

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

PENSTAR PROVIDER NETWORK LLC (NPI 1912509233) is a healthcare organization registered as a specialist in Pembroke Pines, Florida and active in the NPI registry since November 2020. The organization lists Ileana Villarreal, Mgr, as its authorized official.

NPPES Registry Identity

NPI1912509233
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePENSTAR PROVIDER NETWORK LLC
Location Address1931 NW 150TH AVE STE 228Pembroke Pines, FL 33028-2880
Mailing Address1931 Nw 150th Ave Ste 228Pembroke Pines, FL 33028-2880 · (754) 226-6456
Phone(754) 226-6456
Organization SubpartNo
Authorized OfficialIleana VillarrealMgr · (954) 281-5022
Enumeration DateNovember 11, 2020
NPPES CertifiedNovember 11, 2020
✔ NPI 1912509233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1931 NW 150TH AVE STE 228, Pembroke Pines, FL 33028
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Penstar Provider Network LLC's NPI number?

The NPI number for Penstar Provider Network LLC is 1912509233. It was assigned to this organization in the NPPES registry on November 11, 2020.

Where is Penstar Provider Network LLC located?

Penstar Provider Network LLC is located at 1931 NW 150th Ave Ste 228, Pembroke Pines, FL 33028. The listed phone number is (754) 226-6456.

What is Penstar Provider Network LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Penstar Provider Network LLC was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.