Provider Demographics
NPI:1376691931
Name:CARRETERO, CATHERINE DOLORES (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:DOLORES
Last Name:CARRETERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:DOLORES
Other - Last Name:CARRETERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2150 W 29TH AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3874
Mailing Address - Country:US
Mailing Address - Phone:303-455-7546
Mailing Address - Fax:
Practice Address - Street 1:2150 W 29TH AVE STE 600
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3874
Practice Address - Country:US
Practice Address - Phone:303-455-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO43374207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO029480OtherKAISER COMMERCIAL NUMBER