Healthcare Provider Details

I. General information

NPI: 1881836450
Provider Name (Legal Business Name): ALVARO FEDERICO MARTINEZ-CAMACHO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2009
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 DELAWARE ST MC 0148
DENVER CO
80204-4532
US

IV. Provider business mailing address

660 BANNOCK ST MC 4000
DENVER CO
80204-4506
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-5013
  • Fax: 303-602-5055
Mailing address:
  • Phone: 303-602-5013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberDR0047819
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberDR0047819
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM9486
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number47819
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: