Healthcare Provider Details

I. General information

NPI: 1316634462
Provider Name (Legal Business Name): CARLOS ESTEVEZ-CELI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 ROSLYN ST UNIT 100
DENVER CO
80238-3324
US

IV. Provider business mailing address

3055 ROSLYN ST UNIT 100
DENVER CO
80238-3324
US

V. Phone/Fax

Practice location:
  • Phone: 720-553-2696
  • Fax:
Mailing address:
  • Phone: 720-553-2696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0075493
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTL.0009854
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: