MEDICARE: DR. ERICK RENEE ARANEDA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	C-8532	AR
2	207RI0011X	Interventional Cardiology Physician	42931	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	060055597	OTHER	AR	RR MEDICARE #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	15952000000	OTHER	AR	QUAL CHOICE #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	5J606	OTHER	AR	AR BCBS #

General Provider Information

NPI Number	:	1154323228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERICK RENEE ARANEDA M.D.

Provider Business Mailing Address
First Line	:	2643 PATTERSON RD
Second Line	:	SUITE 605
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1936
Country	:	US
Telephone Number	:	970-244-2482
Fax Number	:	970-255-1701

Provider Business Practice Location Address
First Line	:	2643 PATTERSON RD
Second Line	:	SUITE 605
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1936
Country	:	US
Telephone Number	:	970-244-2482
Fax Number	:	970-255-1701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	03/28/2019

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Directions to “ DR. ERICK RENEE ARANEDA M.D.” Practice Location

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