Healthcare Provider Details

I. General information

NPI: 1134823891
Provider Name (Legal Business Name): CHERYL BETELINA ANTAL MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL BETELINA AGUAS

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 E 16TH AVE
AURORA CO
80045-7106
US

IV. Provider business mailing address

PO BOX 110429
AURORA CO
80042-0429
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-6200
  • Fax:
Mailing address:
  • Phone: 720-777-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number1134823891
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: