IMELDA PENA CPO NPI 1508639964

NPI Information

  • NPI: 1508639964
  • Provider Name: IMELDA PENA, CPO
  • Classification: Prosthetist - 224P00000X
  • Entity Type: Individual
  • Address: 12315 JUDSON RD STE 206
    LIVE OAK, TX
    ZIP 78233
  • Phone: (210) 657-8100

Map and Directions

Get Directions

NPI Details

Imelda Pena, CPO is a prosthetist in Live Oak, TX. The provider is 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. Imelda Pena, CPO NPI is 1508639964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12315 JUDSON RD STE 206
LIVE OAK, TX
ZIP 78233-264
Phone: (210) 657-8100
Fax: (210) 657-8105

The enumeration date for this NPI number is 11/6/2023 and was last updated on 11/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1222Z00000XOrthotist1312TEXASNo
2224P00000XProsthetist1312TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.