Provider Demographics
NPI:1790582252
Name:MELERO CASTILLO, KENIA VALERIA
Entity type:Individual
Prefix:
First Name:KENIA
Middle Name:VALERIA
Last Name:MELERO CASTILLO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27484 BUFFALO GRASS PT LOT 58
Mailing Address - Street 2:
Mailing Address - City:CALHAN
Mailing Address - State:CO
Mailing Address - Zip Code:80808-8582
Mailing Address - Country:US
Mailing Address - Phone:970-820-8192
Mailing Address - Fax:
Practice Address - Street 1:27484 BUFFALO GRASS PT LOT 58
Practice Address - Street 2:
Practice Address - City:CALHAN
Practice Address - State:CO
Practice Address - Zip Code:80808-8582
Practice Address - Country:US
Practice Address - Phone:970-820-8192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter