Healthcare Provider Details

I. General information

NPI: 1811109085
Provider Name (Legal Business Name): MENESIS STEVE NAVARRO B.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 DOWNING ST.
DENVER CO
80218
US

IV. Provider business mailing address

3533 W. 96TH CIRCLE
WESTMINSTER CO
80031
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-1800
  • Fax:
Mailing address:
  • Phone: 720-887-3860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: