Geriatric medicine specialist Jose R. Pena, MD, maintains a Chula Vista practice in the H Street corridor, holding dual training in internal medicine and geriatric medicine from the Universidad Central del Caribe School of Medicine. His geriatric-medicine specialization includes skilled-nursing facility follow-up and transitional care coordination with residential communities such as Fredericka Manor Retirement Community for patients transitioning between acute hospitalization and long-term care. Dr. Pena completed dual residency and fellowship training in internal medicine and geriatric medicine at St. Vincent's Hospital and Medical Center in New York, and maintains affiliations with both Scripps Mercy Hospital Chula Vista and Sharp Chula Vista Medical Center. Complex polypharmacy management for his geriatric panels requires coordinated dispensing through pharmacies such as South Bay Pharmacy for patients on five or more concurrent medications requiring quarterly drug-interaction review. The practice's highest-acuity services include comprehensive geriatric assessments incorporating cognitive screening via the Montreal Cognitive Assessment, fall-risk evaluation using Timed Up and Go testing, and advance-directive counseling for patients with progressive neurodegenerative conditions.