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NPI Code Detail

MEDICARE: JORGE RATIVA

MEDICARE: JORGE RATIVA
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
1163WM0705XMedical-Surgical Registered Nurse1704112CO

General Provider Information

NPI Number : 1467311209
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE RATIVA
Provider Business Mailing Address
First Line : 1402 EAGLE ST
Second Line :
City : AURORA
State : CO
Zip : 80011-1004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1501 S POTOMAC ST
Second Line :
City : AURORA
State : CO
Zip : 80012-5411
Country : US
Telephone Number : 303-695-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ JORGE RATIVA ” Practice Location

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