Healthcare Provider Details

I. General information

NPI: 1730100066
Provider Name (Legal Business Name): LIBERTY AMADOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13111 E BRIARWOOD AVE STE 215
CENTENNIAL CO
80112-3846
US

IV. Provider business mailing address

13111 E BRIARWOOD AVE STE 215
CENTENNIAL CO
80112-3846
US

V. Phone/Fax

Practice location:
  • Phone: 303-680-9150
  • Fax: 303-680-9149
Mailing address:
  • Phone: 303-680-9150
  • Fax: 303-680-9149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number38343
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: