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NPI Code Detail

MEDICARE: ARELIS BURGOS MD

MEDICARE:   ARELIS  BURGOS  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
1207NP0225XPediatric Dermatology PhysicianME143043FL
2208000000XPediatrics Physician44721CO
3207N00000XDermatology PhysicianME143043FL

Other Identifiers

General Provider Information

NPI Number : 1609865427
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARELIS BURGOS MD
Provider Business Mailing Address
First Line : 1056 S 88TH ST
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-9460
Country : US
Telephone Number : 303-442-6647
Fax Number : 303-442-2696
Provider Business Practice Location Address
First Line : 905 W 124TH AVE STE 170
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-1716
Country : US
Telephone Number : 303-442-6647
Fax Number : 303-442-2696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 07/26/2024

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Directions to “ ARELIS BURGOS MD” Practice Location

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