Provider Demographics
NPI:1073777678
Name:ALMEYDA, REBECCA (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:ALMEYDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:ALMEYDA RUIZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5910 S JELLISON ST APT D
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3446
Mailing Address - Country:US
Mailing Address - Phone:787-486-8409
Mailing Address - Fax:
Practice Address - Street 1:1020 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6002
Practice Address - Country:US
Practice Address - Phone:720-723-5172
Practice Address - Fax:303-914-2682
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-12
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-00576207Q00000X
FLME 119852207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2012-00576OtherNORTH CAROLINA MEDICAL BOARD
FLME 119852OtherFLORIDA MEDICAL BOARD
KY43037OtherKENTUCKY BOARD OF MEDICAL LICENSURE