MEDICARE: DR. MARIA A VILLAVERT MD

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	207Q00000X	Family Medicine Physician	43886	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194719351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA A VILLAVERT MD

Provider Business Mailing Address
First Line	:	8601 TURNPIKE DR UNIT 200
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-7044
Country	:	US
Telephone Number	:	303-428-7449
Fax Number	:	303-487-5196

Provider Business Practice Location Address
First Line	:	8601 TURNPIKE DR UNIT 200
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-7044
Country	:	US
Telephone Number	:	303-428-7449
Fax Number	:	303-487-5196

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	02/20/2018

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