Healthcare Provider Details

I. General information

NPI: 1851333520
Provider Name (Legal Business Name): EMILIA RIPOLL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILIA A RIPOLL M. D.

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 07/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 OLD LARAMIE TRAIL EAST
LAFAYETTE CO
80026-5600
US

IV. Provider business mailing address

120 OLD LARAMIE TRAIL EAST
LAFAYETTE CO
80026-5600
US

V. Phone/Fax

Practice location:
  • Phone: 303-444-0840
  • Fax: 303-444-0838
Mailing address:
  • Phone: 303-444-0840
  • Fax: 303-444-0838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number28758
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number43441
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: