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NPI Code Detail

MEDICARE: AMBAR SOLIS-FUENTES

MEDICARE:   AMBAR  SOLIS-FUENTES
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
1363A00000XPhysician Assistant0009034CO

General Provider Information

NPI Number : 1689488256
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBAR SOLIS-FUENTES
Provider Business Mailing Address
First Line : 1976 S DANUBE WAY
Second Line :
City : AURORA
State : CO
Zip : 80013-7716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2101 E 48TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80216-2253
Country : US
Telephone Number : 303-458-5302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2025
Last Update Date : 02/04/2025

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Directions to “ AMBAR SOLIS-FUENTES ” Practice Location

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