Healthcare Provider Details

I. General information

NPI: 1659842128
Provider Name (Legal Business Name): MILESTONE SURGICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11953 LIONESS WAY STE 102
PARKER CO
80134-6064
US

IV. Provider business mailing address

11953 LIONESS WAY STE 102
PARKER CO
80134-6064
US

V. Phone/Fax

Practice location:
  • Phone: 303-414-5535
  • Fax: 720-484-4928
Mailing address:
  • Phone: 303-414-5535
  • Fax: 720-484-4928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. OSCAR ANTONIO AGUIRRE
Title or Position: PRESIDENT
Credential: MD
Phone: 303-322-0500