Healthcare Provider Details

I. General information

NPI: 1356282123
Provider Name (Legal Business Name): MS. LEELA ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 S COLORADO BLVD STE C100
DENVER CO
80222-3358
US

IV. Provider business mailing address

245 BANNOCK ST APT 205
DENVER CO
80223-1345
US

V. Phone/Fax

Practice location:
  • Phone: 303-756-9052
  • Fax: 303-756-0308
Mailing address:
  • Phone: 415-407-7543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: