Provider Demographics
NPI:1033487319
Name:DE OLIVEIRA PEREIRA, ANA PAULA (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:PAULA
Last Name:DE OLIVEIRA PEREIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:PAULA
Other - Last Name:POOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:11974 E NEVADA CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2265
Mailing Address - Country:US
Mailing Address - Phone:305-308-0789
Mailing Address - Fax:
Practice Address - Street 1:660 BANNOCK ST FL 7
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4506
Practice Address - Country:US
Practice Address - Phone:305-308-0789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301103791390200000X, 208600000X
NMMD 2015-0613208D00000X
NY390200000X
NMRS2014-0636390200000X
CODR.0070519390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMMD 2015-0613OtherMEDICAL STATE LICENSE
NMRS2014-0636OtherNEW MEXICO STATE MEDICAL BOARD