| South Denver Internal Medicine And Pediatrics, P.c. | |
|
10103 Ridgegate Pkwy Suite 114 Lone Tree CO 80124-5520 | |
| (303) 799-8890 | |
| (303) 799-8891 |
| Full Name | South Denver Internal Medicine And Pediatrics, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10103 Ridgegate Pkwy, Lone Tree, Colorado |
| Authorized Official Name and Position | Charles Miranda (PRESIDENT) |
| Authorized Official Contact | 3037998890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Denver Internal Medicine And Pediatrics, P.c. 10103 Ridgegate Pkwy Suite 114 Lone Tree CO 80124-5520 Ph: (303) 799-8890 | South Denver Internal Medicine And Pediatrics, P.c. 10103 Ridgegate Pkwy Suite 114 Lone Tree CO 80124-5520 Ph: (303) 799-8890 |
| NPI Number | 1376671628 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 02/08/2010 |
| Medicare PECOS PAC ID | 0446142608 |
|---|---|
| Medicare Enrollment ID | O20040325000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376671628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 33478 (Colorado) | Primary |
| Provider Name | Charles Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437112000 PECOS PAC ID: 1153213327 Enrollment ID: I20100224000287 |
Advanced Integrative Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10455 Park Meadows Dr, Suite 102, Lone Tree, CO 80124 Phone: 303-708-0246 Fax: 303-708-0247 | |
Colorado Endocrinology, Thyroid And Diabetes Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10099 Ridgegate Pkwy, Suite 480, Lone Tree, CO 80124 Phone: 303-790-2400 Fax: 303-790-2408 | |
Quantum Specialist Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9777 S Yosemite St Ste 220, Lone Tree, CO 80124 Phone: 720-560-3083 | |
Heritage Hills Family Medicine, P.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9218 Kimmer Dr, Suite 102, Lone Tree, CO 80124 Phone: 303-792-3333 Fax: 303-792-3361 | |
University Of Colorado Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9544 Park Meadows Dr Ste 100, Lone Tree, CO 80124 Phone: 720-553-1200 | |
Mark Perea Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9894 Rosemont Ave Ste 103, Lone Tree, CO 80124 Phone: 303-792-0799 | |
University Of Colorado Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9540 Park Meadows Dr, Lone Tree, CO 80124 Phone: 720-848-9300 |