Doctor Name: | MS. PATRICIA MORENO-CABRERA |
NPI Number: | 1114292786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 6255 Quebec Pkwy Commerce City, CO - 800224812 |
Business Phone Number: | 3032866755 |
Business Fax Number: | 3032864970 |
Mailing Address: | 203 S Rollie Ave, Billing Dept - Credentialist FORT LUPTON |
State: | CO |
Postal Code: | 806211508 |
Phone Number: | 3032864560 |
Fax Number: | 3032864589 |
NPI Enumeration Date: | 03/15/2012 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |