Healthcare Provider Details

I. General information

NPI: 1477651719
Provider Name (Legal Business Name): OSCAR ANTONIO AGUIRRE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 05/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11953 LIONESS WAY SUITE 101
PARKER CO
80134-5640
US

IV. Provider business mailing address

11953 LIONESS WAY SUITE 101
PARKER CO
80134-5640
US

V. Phone/Fax

Practice location:
  • Phone: 303-322-0500
  • Fax: 303-322-0772
Mailing address:
  • Phone: 303-322-0500
  • Fax: 303-322-0772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number36046
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number970434
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: