Healthcare Provider Details

I. General information

NPI: 1760623417
Provider Name (Legal Business Name): MATTHEW LOUIS IORIO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 RIVERGATE LN UNIT 205
DURANGO CO
81301-7490
US

IV. Provider business mailing address

575 RIVERGATE LN UNIT 205
DURANGO CO
81301-7490
US

V. Phone/Fax

Practice location:
  • Phone: 970-259-5990
  • Fax:
Mailing address:
  • Phone: 970-259-5990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License NumberDR.0059687
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberDR.0059687
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: