Doctor Name: | MR. ANTONIO PADILLA FELIZ |
NPI Number: | 1538165691 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 37048 |
Business Practice Address: | 1925 E Orman Ave Ste A340 Pueblo, CO - 810043571 |
Business Phone Number: | 7195697400 |
Business Fax Number: | 7195697338 |
Mailing Address: | 3510 San Jose Ct, PUEBLO |
State: | CO |
Postal Code: | 810053916 |
Phone Number: | 7195459713 |
Fax Number: | 7195452054 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 11/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 37048 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |