Healthcare Provider Details

I. General information

NPI: 1114046364
Provider Name (Legal Business Name): EL CENTRO ESPERANZA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 FEDERAL BLVD
DENVER CO
80204-3212
US

IV. Provider business mailing address

881 FEDERAL BLVD
DENVER CO
80204-3212
US

V. Phone/Fax

Practice location:
  • Phone: 303-480-1920
  • Fax: 303-433-9627
Mailing address:
  • Phone: 303-480-1920
  • Fax: 303-433-9627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA EVELYN MORREO
Title or Position: EXECUTIVE DIRECTOR
Credential: MA
Phone: 303-480-1920