Provider Demographics
NPI:1851333520
Name:RIPOLL, EMILIA (MD)
Entity Type:Individual
Prefix:
First Name:EMILIA
Middle Name:
Last Name:RIPOLL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILIA
Other - Middle Name:A
Other - Last Name:RIPOLL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M D
Mailing Address - Street 1:120 OLD LARAMIE TRAIL EAST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-5600
Mailing Address - Country:US
Mailing Address - Phone:303-444-0840
Mailing Address - Fax:303-444-0838
Practice Address - Street 1:120 OLD LARAMIE TRAIL EAST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-5600
Practice Address - Country:US
Practice Address - Phone:303-444-0840
Practice Address - Fax:303-444-0838
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO28758208800000X
MN43441208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01287580Medicaid
F29496Medicare UPIN
COC516618Medicare PIN