| La Clinica Tepeyac, Inc | |
|
5075 Lincoln St Denver CO 80216-2015 | |
| (303) 458-5302 | |
| (303) 433-7452 |
| Full Name | La Clinica Tepeyac, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5075 Lincoln St, Denver, Colorado |
| Authorized Official Name and Position | Jim G Garcia (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7202742940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica Tepeyac, Inc 4725 High St Denver CO 80216-2220 Ph: (720) 274-2923 | La Clinica Tepeyac, Inc 5075 Lincoln St Denver CO 80216-2015 Ph: (303) 458-5302 |
| NPI Number | 1336516178 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 11/03/2020 |
| Medicare PECOS PAC ID | 4082939962 |
|---|---|
| Medicare Enrollment ID | O20160215001657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336516178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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