Individual
MR. VICTOR E PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2455 BELL RD, MONTGOMERY, AL 36117-4336
(334) 747-8970
(334) 747-8980
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17893
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932478
—
AL
01
—
051529494
BCBS
AL
01
—
102I168904
MEDICARE
AL
05
—
200812
—
AL
05
—
200815
—
AL
05
—
202136
—
AL
01
—
440440
CIGNA
—
01
—
511-93871
BCBS OF ALABAMA
AL
01
—
511-93875
BCBS OF ALABAMA
AL
01
—
511-93901
BCBS OF ALABAMA
AL
01
—
A82388
VIVA HEALTH
—
01
—
P01873134
RR MEDICARE
—
Enumeration date
11/01/2006
Last updated
01/06/2023
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