Individual ProviderDyniker PenaCounselorBehavioral Health & Social Service ProvidersPractice Address30 Dimock St, Roxbury, MA 02119-1210(617) 989-2860PECOS EnrollmentBased on the most recent information from CMS, provider Dyniker Pena does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1447573951Provider TypeIndividualFull NamePena, DynikerTitleMrs.GenderFemaleSole ProprietorYesEnumeration Date3/11/2010Last Updated2/9/2012Contact InformationPractice LocationPractice Address30 Dimock St, Roxbury, MA 02119-1210Phone(617) 989-2860Fax(617) 445-9147Mailing LocationMailing Address30 Dimock St, Roxbury, MA 02119-1210Phone(617) 989-2860Fax(617) 445-9147Provider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer