MEDICARE: EL CENTRO ESPERANZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1114046364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL CENTRO ESPERANZA

Provider Business Mailing Address
First Line	:	881 FEDERAL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-3212
Country	:	US
Telephone Number	:	303-480-1920
Fax Number	:	303-433-9627

Provider Business Practice Location Address
First Line	:	881 FEDERAL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-3212
Country	:	US
Telephone Number	:	303-480-1920
Fax Number	:	303-433-9627

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. MARIA EVELYN MORREO
Credential	:	MA
Telephone Number	:	303-480-1920

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	05/19/2008

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Directions to “EL CENTRO ESPERANZA ” Practice Location

Language	Start Address	Practice Location

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