Provider Demographics
NPI:1831325125
Name:RANGEL, SERGIO EDUARDO
Entity Type:Individual
Prefix:MR
First Name:SERGIO
Middle Name:EDUARDO
Last Name:RANGEL
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 1:7160 CLIFFROSE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-9412
Mailing Address - Country:US
Mailing Address - Phone:719-325-6865
Mailing Address - Fax:
Practice Address - Street 1:7160 CLIFFROSE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80925-9412
Practice Address - Country:US
Practice Address - Phone:719-325-6865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical