Healthcare Provider Details

I. General information

NPI: 1609140045
Provider Name (Legal Business Name): ROCKY MOUNTAIN HYPERBARIC INSTITUTELLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2012
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W SOUTH BOULDER RD SUITE 101
LOUISVILLE CO
80027-1195
US

IV. Provider business mailing address

225 W SOUTH BOULDER RD SUITE 101
LOUISVILLE CO
80027-1195
US

V. Phone/Fax

Practice location:
  • Phone: 303-442-4124
  • Fax: 303-666-2112
Mailing address:
  • Phone: 303-442-4124
  • Fax: 303-666-2112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESUS CARUS
Title or Position: CEO
Credential: CHT
Phone: 619-410-5710