Healthcare Provider Details

I. General information

NPI: 1811811896
Provider Name (Legal Business Name): SKIN & SOUL DERMATOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

7350 E 29TH AVE UNIT 203
DENVER CO
80238-2721
US

IV. Provider business mailing address

7350 E 29TH AVE UNIT 203
DENVER CO
80238-2721
US

V. Phone/Fax

Practice location:
  • Phone: 720-677-5822
  • Fax: 720-677-5819
Mailing address:
  • Phone: 720-677-5822
  • Fax: 720-677-5819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARELIS BURGOS
Title or Position: DERMATOLOGY/PEDIATRIC DERMATOLOGY
Credential: MD
Phone: 720-677-5822