Provider Demographics
NPI:1629013057
Name:DELOSREYES, CHERRY M (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERRY
Middle Name:M
Last Name:DELOSREYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3035 S PARKER RD
Mailing Address - Street 2:SUITE 554
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2926
Mailing Address - Country:US
Mailing Address - Phone:303-338-9111
Mailing Address - Fax:303-338-9122
Practice Address - Street 1:3035 S PARKER RD
Practice Address - Street 2:SUITE 554
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2926
Practice Address - Country:US
Practice Address - Phone:303-338-9111
Practice Address - Fax:303-338-9122
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO36283207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01362839Medicaid
CO522998Medicare ID - Type Unspecified
COG52938Medicare UPIN