Healthcare Provider Details

I. General information

NPI: 1386454551
Provider Name (Legal Business Name): OPTIMAL HEALTHCARE PROVIDERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1942 BROADWAY STE 314C
BOULDER CO
80302-5233
US

IV. Provider business mailing address

8279 DOVE RIDGE WAY
PARKER CO
80134-8888
US

V. Phone/Fax

Practice location:
  • Phone: 720-303-4976
  • Fax: 303-535-4570
Mailing address:
  • Phone: 561-248-9407
  • Fax: 303-535-4570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. YASSER ANTONIO ESPINAL
Title or Position: PHYSICIAN/MD
Credential: MD
Phone: 561-248-9407