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MARY G HEYROSA MD LLC NPI 1356771802


NPI Information

NPI: 1356771802
Provider Name: MARY G HEYROSA MD LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
157 STEELE ST
1ST FLOOR
DENVER, CO
ZIP 80206
Phone: (720) 575-9300
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MARY G HEYROSA MD LLC is a specialist in Denver, CO. The provider is 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. MARY G HEYROSA MD LLC NPI is 1356771802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

157 STEELE ST
1ST FLOOR
DENVER, CO
ZIP 80206-020
Phone: (720) 575-9300
Fax: (720) 575-9566

The provider's authorized official is Mary Grace Heyrosa .
The authorized official title is Owner and has the following contact phone number (720) 483-5690.

The enumeration date for this NPI number is 11/20/2013 and was last updated on 8/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistDR0044751COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
185929760MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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