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NPI Code Detail

MEDICARE: MS. JULIA CUERVO M.D.

MEDICARE: MS. JULIA CUERVO M.D.
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
1207R00000XInternal Medicine Physician34044AZ
2207R00000XInternal Medicine Physician49187CO

Other Identifiers

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

General Provider Information

NPI Number : 1275500787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIA CUERVO M.D.
Provider Business Mailing Address
First Line : 1627 E 18TH ST
Second Line :
City : LOVELAND
State : CO
Zip : 80538-4209
Country : US
Telephone Number : 970-663-0135
Fax Number : 970-461-1422
Provider Business Practice Location Address
First Line : 2923 GINNALA DR
Second Line :
City : LOVELAND
State : CO
Zip : 80538-2702
Country : US
Telephone Number : 970-669-6660
Fax Number : 970-669-1099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 12/14/2010

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