Jose Raul Mena in Louisville - General Practice

Jose Raul Mena - NPI 1497929087

Jose Raul Mena is a General Practice in Louisville, Colorado. Jose Raul Mena practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jose Raul Mena is 1497929087. The last update date is 2008-04-15.

Jose Raul Mena's current location address is 877 S Boulder Rd, Louisville, Colorado. You can contact this provider via phone number 3036658228 and fax number 3036658994. The mailing address for Jose Raul Mena is 877 S Boulder Rd, Louisville, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose Raul Mena
Address 877 S Boulder Rd, Louisville, Colorado
Phone Number 3036658228
Fax Number 3036658994
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1497929087
Provider Enumeration Date 2008-04-15
Last Updated Date 2008-04-15

Provider Mailing Address Detail

Address 877 S Boulder Rd
City Louisville
State Colorado (CO)
Post Code 800271345
Phone Number 3036658228
Fax Number 3036658994

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 9252
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40673511 CO --

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FAQs about Jose Raul Mena

What is the unique 10-digit identifier code assigned to Jose Raul Mena by the Centers for Medicare & Medicaid Services?

The Jose Raul Mena has been issued the NPI (National Provider Identifier) 1497929087 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jose Raul Mena's facilities are situated?

The facilities of Jose Raul Mena are physically located at the following address: 877 S Boulder Rd, Louisville, CO, 800271345.

What is Jose Raul Mena's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jose Raul Mena is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did Jose Raul Mena receive its 1497929087 assignment from the Centers for Medicare & Medicaid Services?

The Jose Raul Mena was assigned its 1497929087 on 2008-04-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Jose Raul Mena's details last updated?

The information pertaining to the Jose Raul Mena, including its address, specialty, and other details, was most recently updated on 2008-04-15.

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