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NPI Code Detail

MEDICARE: CARMEN DOLORES DAVILA-TORO M.D.

MEDICARE: CARMEN DOLORES DAVILA-TORO M.D.
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
12084P0800XPsychiatry Physician34586CO
22084P0800XPsychiatry Physician15930PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962403931
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN DOLORES DAVILA-TORO M.D.
Provider Business Mailing Address
First Line : 4455 E 12TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80220-2415
Country : US
Telephone Number : 303-504-7700
Fax Number : 303-504-7892
Provider Business Practice Location Address
First Line : 4455 E 12TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80220-2415
Country : US
Telephone Number : 303-504-7700
Fax Number : 303-504-7892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 08/06/2012

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