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NPI Code Detail

MEDICARE: ADRIANA CORONADO JARA

MEDICARE:   ADRIANA  CORONADO JARA
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
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General Provider Information

NPI Number : 1619836517
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANA CORONADO JARA
Provider Business Mailing Address
First Line : 4190 ARGONNE ST
Second Line :
City : DENVER
State : CO
Zip : 80249-6501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4190 ARGONNE ST
Second Line :
City : DENVER
State : CO
Zip : 80249-6501
Country : US
Telephone Number : 720-937-7096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2026
Last Update Date : 01/17/2026

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Directions to “ ADRIANA CORONADO JARA ” Practice Location

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