Healthcare Provider Details

I. General information

NPI: 1336533546
Provider Name (Legal Business Name): AUBREY MARIE ARMENTO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 04/12/2021
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 POTOMAC CIR
AURORA CO
80011-6714
US

IV. Provider business mailing address

13001 E 17TH PL UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
AURORA CO
80045-2570
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-3899
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0060282
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2080S0010X
TaxonomyPediatric Sports Medicine Physician
License NumberDR.0060282
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: