NPI

Manuel David Pena Rosales

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
ATC, LAT
Type
Individual
Enumeration date
2016-03-07
Last updated
2016-03-07

Specialties

Licenses

License OK
881

Location

Practice location
1100 E 14th St, Pmb 4503
City
Ada OK
Postal code
74820-6915
Phone
(580) 279-4655

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Ada, OK. 1,447 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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