MARYCRUZ CARRILLO (NPI# 1750816229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750816229 |
Entity Type | Individual |
Full Name | MARYCRUZ CARRILLO |
Practice Address |
1290 S Potomac St Aurora CO 80012-4524 |
Practice Telephone | 3034123703 |
Practice Fax Number | 3034123358 |
Mailing Telephone | 3034123703 |
Mailing Fax Number | 3034123358 |
Enumeration Date | 2017-04-21 |
Last Update Date | 2017-04-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
Street Address |
1290 S POTOMAC ST |
City | AURORA |
State | CO |
Zip Code | 80012-4524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760500557 | Jefferson Hills Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1290 S Potomac St, Aurora, CO 80012-4524 | 2007-03-27 |
1871192930 | Aurora Comprehensive Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-10-20 |
1588261762 | Aurora Comprehensive Community Mental Health Center | Substance Abuse Rehabilitation Facility | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-10-01 |
1760099659 | Devrey Ann Martin | Student in an Organized Health Care Education/Training Program | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-09-25 |
1356967012 | Emily Otero | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-06-18 |
1598398323 | Victoria N/a Awuah | Student in an Organized Health Care Education/Training Program | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-02-20 |
1841855004 | Paul Geroge-edgar Baesel | Student in an Organized Health Care Education/Training Program | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-05-03 |
1134783921 | Severin Hubka | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-04-26 |
1447814314 | Rodolfo Garza IIi | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-04-26 |
1831652437 | Justin Turnage | Case Manager/Care Coordinator | 1290 S Potomac St, Aurora, CO 80012-4524 | 2019-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
Find all providers in zip 80012 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881093 | Lori Lea Samuelson | Specialist | 2481 S Xanadu Way Unit A, Aurora, CO 80014-2141 | 2020-11-03 |
1891236253 | Dwight Swift | Specialist | 7568 S Quatar Way, Aurora, CO 80016-7119 | 2017-03-17 |
1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
1447604244 | Heather Brox | Specialist | 6155 S Main St # E101, Aurora, CO 80016-5363 | 2016-04-18 |
1902262900 | Nakeisha Hill | Specialist | 3587 S Joplin St, Aurora, CO 80013-2432 | 2016-01-06 |
1770967986 | Amber Medina | Specialist | 17784 E Arizona Pl, Aurora, CO 80017-4313 | 2015-07-17 |
1659754687 | Kathleem Brough | Specialist | 3718 S Himalaya Way, Aurora, CO 80013-6621 | 2015-07-08 |
1598147688 | Sarah Gleason | Specialist | 1224 Ironton St, Aurora, CO 80010-3415 | 2015-06-24 |
1174903819 | Moses Abraha | Specialist | 950 S Cimarron Way Apt K201, Aurora, CO 80012-4980 | 2015-06-08 |
1821496225 | Carla Potvin | Specialist | 6066 S Shawnee St, Aurora, CO 80015-4585 | 2014-12-17 |
Find all providers in AURORA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.