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General NPI Number Information
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NPI Number | 1386454551
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Entity Type | Organization
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Legal Business Name | OPTIMAL HEALTHCARE PROVIDERS, PLLC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1942 BROADWAY STE 314C
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City | BOULDER
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State | CO
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Zip | 80302-5233
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Country | US
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Telephone | 720-303-4976
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Fax | 303-535-4570
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Provider Business Mailing Address
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Address Line | 8279 DOVE RIDGE WAY
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City | PARKER
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State | CO
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Zip | 80134-8888
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Country | US
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Telephone | 561-248-9407
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Fax | 303-535-4570
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Authorized Official
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Title or Position | PHYSICIAN/MD
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Name | DR. YASSER ANTONIO ESPINAL
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Credential | MD
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Telephone | 561-248-9407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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