Provider Demographics
NPI:1760007710
Name:RICALDE, MIRNA (INTERPRETER)
Entity Type:Individual
Prefix:
First Name:MIRNA
Middle Name:
Last Name:RICALDE
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11769 UTICA WAY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7865
Mailing Address - Country:US
Mailing Address - Phone:303-657-5682
Mailing Address - Fax:
Practice Address - Street 1:11769 UTICA WAY
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7865
Practice Address - Country:US
Practice Address - Phone:303-657-5682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter