| Zumaya | |
|
1143 Santa Fe Dr Denver CO 80204-3543 | |
| (559) 307-1800 | |
| Not Available |
| Full Name | Zumaya |
|---|---|
| Speciality | Social Worker |
| Location | 1143 Santa Fe Dr, Denver, Colorado |
| Authorized Official Name and Position | Gladys R Villa (PROPRIETOR) |
| Authorized Official Contact | 5593071800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zumaya 31481 Upper Bear Creek Rd Evergreen CO 80439-7818 Ph: (559) 307-1800 | Zumaya 1143 Santa Fe Dr Denver CO 80204-3543 Ph: (559) 307-1800 |
| NPI Number | 1629428982 |
|---|---|
| Provider Enumeration Date | 06/17/2016 |
| Last Update Date | 09/06/2023 |
| Certification Date | 10/18/2021 |
| Medicare PECOS PAC ID | 7810385184 |
|---|---|
| Medicare Enrollment ID | O20211020000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629428982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 09924043 (Colorado) | Primary |
| Provider Name | Gladys Villa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063802692 PECOS PAC ID: 5991008559 Enrollment ID: I20160114002937 |
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