Provider Demographics
NPI:1154323228
Name:ARANEDA, ERICK RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICK
Middle Name:RENEE
Last Name:ARANEDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2643 PATTERSON RD
Mailing Address - Street 2:SUITE 605
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-1936
Mailing Address - Country:US
Mailing Address - Phone:970-244-2482
Mailing Address - Fax:970-255-1701
Practice Address - Street 1:2643 PATTERSON RD
Practice Address - Street 2:SUITE 605
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-1936
Practice Address - Country:US
Practice Address - Phone:970-244-2482
Practice Address - Fax:970-255-1701
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-8532207RC0000X
CO42931207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR126562001Medicaid
AR15952000000OtherQUAL CHOICE #
AR060055597OtherRR MEDICARE #
CO00951048Medicaid
AR5J606OtherAR BCBS #
AR5J606OtherAR BCBS #
CO374223ZGEEMedicare PIN
AR126562001Medicaid