Provider Demographics
NPI:1437927779
Name:GONZALEZ ORDONEZ, DELMY ELIZABETH (RDN)
Entity Type:Individual
Prefix:
First Name:DELMY
Middle Name:ELIZABETH
Last Name:GONZALEZ ORDONEZ
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 W OXFORD AVE UNIT G-1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236-3112
Mailing Address - Country:US
Mailing Address - Phone:720-253-9502
Mailing Address - Fax:
Practice Address - Street 1:3525 W OXFORD AVE UNIT G-1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80236-3112
Practice Address - Country:US
Practice Address - Phone:720-315-6149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHAT.9519183700000X
CO86372782133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No183700000XPharmacy Service ProvidersPharmacy Technician