Healthcare Provider Details
I. General information
NPI: 1184088221
Provider Name (Legal Business Name): ALEXANDER OCHOA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/05/2016
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8181 E TUFTS AVE STE 560
DENVER CO
80237-2559
US
IV. Provider business mailing address
8181 E TUFTS AVE
DENVER CO
80237-2579
US
V. Phone/Fax
- Phone: 720-669-3470
- Fax: 720-669-3480
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | DR.0066728 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | S1200 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | DR.0066278 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: