MEDICARE: GEORGINA BORUNDA TORRES

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	207Q00000X	Family Medicine Physician	1659249	CO

General Provider Information

NPI Number	:	1831985357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGINA BORUNDA TORRES

Provider Business Mailing Address
First Line	:	15608 E MEXICO AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80017-5001
Country	:	US
Telephone Number	:	720-936-7275
Fax Number	:

Provider Business Practice Location Address
First Line	:	15608 E MEXICO AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80017-5001
Country	:	US
Telephone Number	:	172-093-6727
Fax Number	:

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

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	04/21/2025

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