Healthcare Provider Details

I. General information

NPI: 1104688472
Provider Name (Legal Business Name): DR. YRENE PEYRAMALE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YRENE BERROCAL

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 E COLFAX AVE UNIT 101
DENVER CO
80206-1842
US

IV. Provider business mailing address

3705 E COLFAX AVE UNIT 101
DENVER CO
80206-1842
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-3001
  • Fax:
Mailing address:
  • Phone: 303-399-3001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number00206689
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: