MEDICARE: MARIA DEL SAGRARIO PAYARES AREVALO

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	171R00000X	Interpreter		CO

General Provider Information

NPI Number	:	1528874989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DEL SAGRARIO PAYARES AREVALO

Provider Business Mailing Address
First Line	:	6842 GOLDCREST CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1958
Country	:	US
Telephone Number	:	719-332-5759
Fax Number	:

Provider Business Practice Location Address
First Line	:	6842 GOLDCREST CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1958
Country	:	US
Telephone Number	:	719-332-5759
Fax Number	:

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

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	12/10/2024

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Directions to “ MARIA DEL SAGRARIO PAYARES AREVALO ” Practice Location

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