Healthcare Provider Details

I. General information

NPI: 1558945469
Provider Name (Legal Business Name): JORGE LUIS PEREZ PION M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 12/01/2024
Certification Date: 12/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8181 E TUFTS AVE STE 510
DENVER CO
80237-2580
US

IV. Provider business mailing address

8181 E TUFTS AVE STE 510
DENVER CO
80237-2580
US

V. Phone/Fax

Practice location:
  • Phone: 866-782-8393
  • Fax:
Mailing address:
  • Phone: 866-782-8393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberDR.0074289
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: