MEDICARE: CATHERINE D CARRETERO MD PC

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	207N00000X	Dermatology Physician	43374	CO

General Provider Information

NPI Number	:	1245409630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHERINE D CARRETERO MD PC

Provider Business Mailing Address
First Line	:	2150 W 29TH AVE
Second Line	:	#600
City	:	DENVER
State	:	CO
Zip	:	80211-3844
Country	:	US
Telephone Number	:	303-331-6744
Fax Number	:	303-331-6839

Provider Business Practice Location Address
First Line	:	2150 W 29TH AVE
Second Line	:	#600
City	:	DENVER
State	:	CO
Zip	:	80211-3844
Country	:	US
Telephone Number	:	303-331-6744
Fax Number	:	303-331-6839

Authorized Official
Title or Position	:	OWNER
Name	:	CATHERINE D CARRETERO
Credential	:	M.D.
Telephone Number	:	303-331-6744

Provider Enumeration Date	:	02/29/2008
Last Update Date	:	02/29/2008

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