Individual
ALBERTO PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
(720) 777-7271
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(720) 777-7271
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
35087432
OH
208C00000X
Colon & Rectal Surgery Physician
Primary
0056140
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307822
—
OH
05
—
100012670A
—
IN
05
—
1528023447
—
CO
05
—
65901886
—
KY
Enumeration date
04/20/2006
Last updated
05/15/2017
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