Provider Demographics
NPI:1730058421
Name:BRAVO SIERRA, LETICIA CONCEPCION
Entity type:Individual
Prefix:
First Name:LETICIA
Middle Name:CONCEPCION
Last Name:BRAVO SIERRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14641 E 51ST PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-4292
Mailing Address - Country:US
Mailing Address - Phone:720-635-8990
Mailing Address - Fax:720-302-1511
Practice Address - Street 1:14641 E 51ST PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-4292
Practice Address - Country:US
Practice Address - Phone:720-635-8990
Practice Address - Fax:720-302-1511
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-01
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter