Healthcare Provider Details

I. General information

NPI: 1437927779
Provider Name (Legal Business Name): DELMY ELIZABETH GONZALEZ ORDONEZ RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2023
Last Update Date: 12/15/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W OXFORD AVE UNIT G-1
DENVER CO
80236-3112
US

IV. Provider business mailing address

3525 W OXFORD AVE UNIT G-1
DENVER CO
80236-3112
US

V. Phone/Fax

Practice location:
  • Phone: 720-315-6149
  • Fax:
Mailing address:
  • Phone: 720-253-9502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86372782
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberPHAT.9519
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: