Healthcare Provider Details

I. General information

NPI: 1871404723
Provider Name (Legal Business Name): RACHEL DENISE ARGUELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 LAKE AVE
PUEBLO CO
81004-3536
US

IV. Provider business mailing address

2030 LAKE AVE
PUEBLO CO
81004-3536
US

V. Phone/Fax

Practice location:
  • Phone: 719-543-8718
  • Fax:
Mailing address:
  • Phone: 719-543-8718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number000002936
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: