Provider Demographics
NPI:1720615230
Name:REYES RAMIREZ, MARIA PAULA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA PAULA
Middle Name:
Last Name:REYES RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12801 E 17TH AVE
Mailing Address - Street 2:MAIL STOP 8106
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2530
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12801 E 17TH AVE
Practice Address - Street 2:MAIL STOP 8106
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2530
Practice Address - Country:US
Practice Address - Phone:303-724-8098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COTL.0009758390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program