Healthcare Provider Details

I. General information

NPI: 1467830331
Provider Name (Legal Business Name): FERNANDO GUARDERAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2015
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 S SYRACUSE ST STE 900
DENVER CO
80237-2741
US

IV. Provider business mailing address

PO BOX 800022
KANSAS CITY MO
64180-0022
US

V. Phone/Fax

Practice location:
  • Phone: 720-575-6614
  • Fax: 720-780-7057
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0062094
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: