ANGEL RODRIGUEZ PENA, DDS, MSD

Periodontics · TYLER, TX

Individual Active Opted out of Medicare NPI 1639650245

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Periodontics1223P0300X104508CA
Periodontics1223P0300X34440TX

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Dentist), effective 2023-06-06 through 2027-06-06.

Other Periodontics providers in Texas

See all Periodontics providers in Texas

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.