Healthcare Provider Details

I. General information

NPI: 1891637617
Provider Name (Legal Business Name): SARAH LUCIA ESTRADA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6255 QUEBEC PKWY
COMMERCE CITY CO
80022-4812
US

IV. Provider business mailing address

1514 S OURAY CIR UNIT C
AURORA CO
80017-5668
US

V. Phone/Fax

Practice location:
  • Phone: 303-286-4235
  • Fax:
Mailing address:
  • Phone: 503-710-5738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: