Rebolledo Medranda, Mauricio

Rebolledo Medranda, Mauricio is an individual health care provider with primary practice located at 1501 S Potomac St , Aurora CO 80012-5411. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Rebolledo Medranda, Mauricio can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
1501 S Potomac St Aurora CO 80012-5411
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2013-0973 New Mexico
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X BP10043748 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0065753 Colorado

Profile Details

NPI number 1396003943
LBN Legal business name Rebolledo Medranda, Mauricio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2012
Last updated Aug 21st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396003943 NPPES
Colorado Other 029245 KAISER COMMERCIAL NUMBER

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