Cubillas Manrique, Raul Eduardo
Cubillas Manrique, Raul Eduardo is an individual health care provider with primary practice located at 382 S Arthur Ave , Louisville CO 80027-3094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cubillas Manrique, Raul Eduardo can be contacted via phone (303) 604-5000.Contact Information
Primary practice address
382 S Arthur Ave
Louisville CO 80027-3094
Phone: (303) 604-5000
Fax: (720) 890-0364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0062775 | Colorado |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME133167 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 63645 | Georgia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 65634 | Minnesota |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01063094A | Indiana |
Profile Details
| NPI number | 1679636120 |
|---|---|
| LBN Legal business name | Cubillas Manrique, Raul Eduardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Mar 6th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679636120 | NPPES |
| Georgia | MEDICAID | 003108726A | |
| Georgia | MEDICAID | 900175048 |
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